Surveyed Crowns Flashcards
when does one choose to fabricate a surveyed crown?
(3)
-to restore a badly broken down clinical crown
-to reestablish a proper occlusal plane
(ex. supraerupted teeth)
-to create proper rests, particularly with anterior teeth, and adequate retentive undercuts for direct retainers (I-bar, C clasp) and guide plants when inadequate contours exist
surveyed crowns and combined fixed RPD cases
varies from
extensive rehabs to when the fixed is confined to abutments associated with the RPD
survey crown
is constructed to provide
is prepared to accept the
appropriate
contours for the prescribed RPD abutment
RPD component
skipped
These restorations must be carefully planned and
constructed and must include the appropriate undercuts,
guiding planes, and rest seats:
(5)
- Accurate diagnostic casts must be made and carefully
analyzed. - Definitive RPD design must be drawn.
- Mouth preparations must be carefully planned and
executed. - The survey crown preparation
- Laboratory process
- Mouth preparations must be carefully planned and
executed.
It is essential that re-contouring procedures be completed
before crown (fixed restoration) procedures are begun
This includes the preparation of guiding planes and rest
seats.
- The survey crown preparation
Determine the
retainer design for the crown (all metal,
metal-ceramic, etc.)
- The survey crown preparation
General considerations:
(3)
The occlusal or cingulum rests are constructed in metal
Areas that engage retentive clasps can be in metal or porcelain
Guide planes in metal
Prepare the tooth for the crown design selected:
(4)
Prepare occlusal or cingulum rest
Consider guiding planes
Make full arch impression of the prepared
tooth
An accurate, properly trimmed cast is essential
Lab work authorization
(5)
Must indicate the RPD retainer selected (RPC, RPI,
etc) including height of contour details
Indicate the desired location and amount (0.1”, 0.2”,
0.3”) undercut for retentive arm
Indicate rest details (occlusal, cingulum, etc.)
Indicate material for rest (metal)
Indicate other metal ceramic requirements (shade,
occlusion, etc)
- Laboratory process
The wax patterns for the surveyed crowns should
be appropriately contoured:
Guiding planes should be parallel to the guiding planes on
the remaining teeth. This technique results in improved
parallelism between the guiding planes and provides an
improved restorative result.
Guiding planes are created and refined using a
wax knife in the vertical arm of a dental
surveyor.
The height of contour is marked using
an analyzing rod in the
vertical arm of a dental surveying
Adjustments are made with a
carving instrument
The position of the — is verified.
undercut
A — instrument is used to finalize rest
seat contours.
discoid