Pins Flashcards
Complex Amalgam Restorations- Definitive Restoration -
afford
Complex Amalgam Restorations - Foundation Restoration –
prep for crown
Complex amalgam restorations - Control Restoration
.) pulpal questions – see how tooth responds to filling before crown.
b. ) periodontal questions – often not good idea to put crown on tooth with periodontal issues (will likely fall out first). c. ) acute caries d. ) severe caries
Replacing Cusps
When facial or lingual extension exceeds 2/3 the distance from a primary groove towards the cusp tip
When facial-lingual extension of the occlusal preparation exceeds 2/3 the distance between facial-lingual cusps
Rule for cusp capping
if extension from a primary groove to cusp tip is no more than half the distance, no cusp capping should be done.
half to 2/3rds, start to consider. If greater than 2/3rds, definately cap it.
Types of Pins
Cemented
Friction Locked
Threaded* we use this one
Pin size we use
Know these pin sizes. We use 0.024, drill bit we use os 0.021
2 drill types
standard and depth limiting
Place pins in the
line angles (they have the most available dentin).
Pins are placed
2 drill diameters from DEJ. For plastic teeth, mesure 1.5 mm fro outer tooth to second dotted circle. So a little beyond 1.5 mm.
Problem – collar needs to be
flat for pin to go in. If you need to go a bit shallow to accommodate for top part. Overall, you need a flat surface to properly place these.
If within ½ mm to pulp, you will need a base –
calcium hydroxide. Then you would use a base (GI probably).
What to do to make sure GI sticks?
You place a conditioner (to remove smear layer). This conditioner is made of polyacrylic acid.
Behind the pin is called the .
recess
Retentive wells:
help retain filling