Generic Flashcards
FVC Criteria
1mm occlusal reduction maintaining morphology
- 5mm functional cusp bevel reduction
- 5mm axial reduction with Supragingival chamfer margin
6 degree taper (check for undercuts)
Posterior MCC criteria
If metal occlusal surface:
1 mm non-functional cusp 1.5 mm functional cusp
If metal + porcelain occlusal surface:
1 .5 mm non-functional cusp
2 mm functional cusp
1.2 - 1.5mm axial reduction with shoulder margin
Anterior MCC criteria
2mm incisal reduction
1.2 – 1.5mm labial shoulder equidistant to gingival margin
Two-plane reduction labially
0.5mm supragingival palatal chamfer
Ideal properties of an Elastomeric Impression material
• Non-toxic and non-irritant
• Acceptability to patient
Setting time
Taste
Consistency
• Accuracy
Surface reproducibility
Dimensional stability
• Use of material Ease of mixing Working time Setting time Handling of material
• Compatible with model materials
• Economics of material
Cheap
Long shelf life
Accuracy (saves redoing impression)
• Confidence that you can disinfect them
Characteristics of Elastomeric Impression Materials
BASE – Packaged as a paste in a tube, as a cartridge, or as putty in a jar
CATALYST – also known as the accelerator, is packaged as a paste in a tube, as a cartridge or as a liquid in a bottle with a dropper top.
Forms of Elastomeric Materials
Light-bodied
- Also referred to as syringe type or wash type
- Used because of its ability to flow in and about the details of the prepared tooth
Medium-bodied
- Referred to as tray type
- Much thicker
- Their stiffness helps to force the light-bodied material into close contact with the prepared teeth and surrounding tissues to ensure a more accurate impression of the details of a preparation
Putty
- Must be manually kneaded
NB: Viscosity governed by filler content
Curing Stages of Elastomeric Materials
INITIAL SET
- First stage
- Results in stiffening o the paste without the appearance of elastic properties
- The material may be manipulated only during this first stage
FINAL SET
- Second stage
- Begins with the appearance of elasticity and proceeds through a gradual change to a solid rubberlike mass
- Material must be in place in the mouth before the elastic properties of the fial set begin to develop
FINAL CURE
- Last stage
- Occurs from 1-24 hours
Types of Elastomeric Materials
Polysulfide
Polyether
C-silicone (Condition-Silicone)
A-silicone (Addition-silicone) / Polyvinyl siloxanes
INLAY = Lab made indirect restoration that sits within a tooth
Inlay Indications
INDICATIONS
o Subgingival cavity
o Ant achieve adequate moisture control to place direct composite, but pt demanding aesthetic restoration indirect inlay
o Small – medium cavity (as amalgam)
e.g Small MO/DO cavities in molars/premolars
conservation MOD in molars
o Low caries rate
Good support for cusps from remaining tooth tissue
about 1/3rd buccal-lingual width
height: width < 1:1
canine guidance
- If group function may get cuspal/wall fracture as teeth subject to lateral forces
**But may have wedge-like action on tooth cuspal fracture
Onlay Indications
INDICATIONS o Conservation of tooth tissue o Provides CUSPAL COVERAGE o Low caries risk o Teeth with larger restorations, but sound B/L walls needing cuspal coverage Wider MODs MODs in premolars o Endodontically treated teeth - Same purpose as crown but less destructive! – High aesthetic demand contraindication; restoration margins visible o Weakened cusps – enamel severely undermined o Fracture o Over ½ buccal-lingual width o Height: width > 1:1 o Parafunction – bruxism tooth wear, lost occlusal surface but not lost all clinical height o Excessive cusp wear o Group function