Principles of Tooth Prep I Flashcards
Functional cusp bevel is a part of
occlusal reduction (provide max. thickness of material in areas of max. occlusal forces)
Diamond particles in burs are held in what kind of matrix
Ni or Ni-Cr
What are the three princples of tooth prep
biologic-mechanical-esthetic
Biologic factoes of crown prep
- Conservation of tooth structure (Prevent damage and injury to the pulp, adjacent teeth, gingival tissues, and oral tissues)
- Avoidance of overcontouring
- Supragingival margins
- Harmonious occlusion
- Protection against tooth fracture
Mechanical factors of a crown prep
retention form
resistance form
deformation
Esthetic factors of a crown prep
minimum display of metal
max. thickness of porcelain
procelain occlusal surfaces
subgingival margins
What restoration required the highest amounts of endo after prep (single crown, ACC, PFDP, Extensive PFDP)
Extensive PFDF> PFDF> Single crown > ACC
What is the most common complication in fixed
need for RCT
Sources of pulpal stress during prep and provisional
- Extreme temps
- Pulp proximity
- Desiccation
- Chemical irritation
- Microbes
Treatment for when a pulpal blush is seen
-Observation to endo
How can you prevent aspiration when using interguards
fasten floss to the loops
Teeth are - mm wider at the contact than at the CEJ
1.5-2 mm
What are injured teeth (knicked adjacent teeth) more susceptible to dental caries than the original
- Original surface enamel contained higher fluoride conc.
- Interrupted layer more prone to plaque retention
T/F Minor abrasions on the gingiva are ok
t
Ways to prevent damaging the gingiva are
- Avoid oversized burs
- Deflect the gingiva
- Keep the bur on the tooth
- Good provisional
- Remove all excess cement