Introduction Articulators and Facebows Flashcards
TYPES OF RESTORATIVE MATERIALS FOR TEETH (5)
dental amalgam composite materials gold restorations (gold foil) gold castings (inlays, onlays, crowns) ceramics
ceramics includes (3)
crowns
bridges (fixed partial dentures)
veneers
CONCERNS ABOUT DENTAL AMALGAM AS RESTORATIVE MATERIAL (8)
poor aesthetics compared to resin composites
weakening of tooth from removal of tooth structure
recurrent caries
no adhesive bonding unless bonded restoration
sensitivity of properties to manipulation
brittle nature of material
biocompatibility (not generally considered problem for patients)
wastewater pollution with mercury
CONCERNS ABOUT DENTAL AMALGAM AS RESTORATIVE MATERIAL (8)
poor aesthetics compared to resin composites
weakening of tooth from removal of tooth structure
recurrent caries
no adhesive bonding unless bonded restoration
sensitivity of properties to manipulation
brittle nature of material
biocompatibility (not generally considered problem for patients)
wastewater pollution with mercury
downside of dental amalgam restorations (2)
upside (1)
mercury
not aesthetically pleasing
repairs itself over time
dental composite advantages (5)
aesthetics bonding to tooth structure can be more conservative in the preparation of the tooth less expensive than ceramic reduced mercury
dental composite disadvantages (6)
shrinkage
durability
chipping
more skill and training required
need to keep working area in mouth completely dry
time and expenses (20 more min longer per restoration)
bonding allows the dentist to use dental composites on teeth to change (3)
shape, color, contours
oldest type of filling material available
gold foil/direct gold
how long does gold last
can last the lifetime of the patient
— — can be placed in one visit in small cavities and will last longer than any other restorative material
pure gold
average cost of metal in a cast gold crown
250 dollars
cost of a full gold crown can be over
300 dollars
why can aesthetics be a problem?
depends on your personal concept of aesthetics
“How Long Will PFM Crowns Last?” (3)
95% success rate between 5-10 years in cross-sectional
study
97.5% success rate at 7 years
95.5% at 7 years assessed in private practices
tooth replacement options with implants (3)
complete dentures
partial dentures
fixed bridge and single teeth
skipped:
High Strength Ceramics (6)
- Broad range of indications
- • Excellent clinical performance
- • Accepted metal alternative
- • Less tooth reduction required
- • Thinner coping thicknesses
- • Shaded coping options offer improved esthetics
articulator
a mechanical device that simulates mandibular movements of condyles in their fossae
uses of the articulator (4)
diagnosis
treatment planning
communicate with patients/patient education
fabrication of protheses/restorations
components of the articulator (5)
upper member lower member anterior or incisal pin condylar mechanisms mounting ring (guide and retention system)