principles of tooth preparation Flashcards

1
Q

what is an indirect restoration

A

it is a restoration that is made in the lab such as a crown which requires a impression to be taken on a model

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2
Q

what are the types of indirect restorations

A

crown
veneer
onlay
inlay

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3
Q

why do we need indirect restorations

A

aesthetics
comfort
function
stability

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4
Q

what can be the issues with indirect restorations

A

take longer to make
longer attendance
cost more

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5
Q

why do we need to prepare the tooth

A

To allow for space to be created

When making the poured model we use a die spacer to create some room for the cement

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6
Q

what happens if there is no preparation of the tooth

A

If there was inadequate cement it would lead to a bulky appearance

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7
Q

how do we prepare the tooth tissue

A

We need to consider at least the two planes on the buccal aspect- the bucco incisal plane must also be reduced adequately and the natural shape of the tooth should be followed
The space will vary according the the material of choice but we should take into consideration the functional cusp which provide support. And the type of margin where a shoulder is thicker for porcelain compared to a chamfer for a metal finish line

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8
Q

what re the issues with under preparing

A

inadequate space for the ECR,leading to thin material

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9
Q

what are issues with underpreparing at the chamfer

A

can lead to fracture and exposure of the tissue tooth

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10
Q

what are some issues with over preparation

A

leads to XS tooth tissue being lost and closeness to the pulp

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11
Q

define retention

A

prevents the removal of the ECR along the path of insertion

maintaining the tooth in place from horizontal forces

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12
Q

define resistance

A

prevents dislodgement from lateral forces

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13
Q

why do we need to make the tooth a taper shape

A

the more retention and resistance

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14
Q

what are we aiming for in regards to taper

A

6-12 degrees

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15
Q

what should optimal tooth tissue have

A
Preserve tooth tissue 
Provide good retention and resistance 
Allow visible finish line 
Allow adequate seating of the ECR 
Between 6-12 degrees is a clinically acceptable taper
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16
Q

what is the advantages of using porcelain

A

it fuses to the metal

17
Q

what is the advantages of using metal

A

it is kind in preserving tooth tissue

18
Q

what do we need to consider with preparations

A

good OHI
supra gingival margins
sufficient marginal reduction
soft tissue management

19
Q

define biological width

A

is the distance of the depth of the sulcus to the crest of the alveolar bone

20
Q

how might we increase the crown height with surgery

A

crown lengthening

21
Q

what does crown lengthening do to the tooth

A

helped the gingiva and there was some alveolar compensation

22
Q

how many teeth become non vital following crown prep

A

1/5 teeth might become non vital