Indirect Restos/Fixed Pros Summary Flashcards
Describe onlay prep
Flat pulpal floor
No undercuts
4-6 tapered walls
Butt joint CSMA
Rounded internal line angles
2mm buccal cusp reduction
1.5mm lingual cusp reduction
1mm supra gingival chamfer
OR
0.5mm chamfer (GOLD)
List cements for ceramic onlay (2)
NEXUS
Relyx UNICEM
List cements for gold onlay (3)
Relyx RMGI
Aquaccem
Panavia
Steps for indirect preps
LA/shade/consent
Putty
Prep
U+L imps + bite
Temp
Lab sheet for onlay
Please pour up imps in 100% dental stone
Mount casts to refi provided on semi adjustable articulator
Construct onlay tooth __ + material + shade
Veneer prep
0.3mm chamfer
0.5mm within enamel
1.5mm incisal reduction
Cement veneer options (2)
Nexus
Relax UNICEM
Indications for veneers (4)
Close diastemas
Change shape/colour
Staining
Peg laterals
Contraindications for veneers
High lip line
Recession
Risk of devitalisation with indirects
20% risk in 5yrs
Tx plan stages (5)
- Immediate
- Pain/XLa/extirpate - Initial
- OHI,diet,caries,XLa/RCT - Re-evaluate
- Perio/resto - Reconstructive
- Fixed+removeable pros - Maintenance
- Perio/restorative
MCC prep
1.5mm occlusal
1.5mm buccal shoulder
0.5mm lingual chamfer
Ceramic prep
1.5mm occlusal reduction
1mm buccal shoulder
List principles of crown prep (6)
Preserve tooth structure
Retention
Structural durability - occlusal/axial
Marginal integrity - shoulder/chamfer
Preserve periodontium
Aesthetics