Tx planning for Fixed Pros Flashcards
Components of tx plan
Immediate
Initial
Re-evaluation
Reconstructive
Maintenance
Contraindications for crowns
- Active caries
- Lack of tooth tissue prep
- Unfavourable occlusion
Consequences of underprepped crown
Poor aesthetics
Perio+ occlusal consequences
Consequences of over prepped crown
Pulp + tooth strength compromised
How is retention improved for crowns?
Limiting path of I
6 degree taper
Grooves/slots
Longer walls
Principles of Crown Prep (6)
- Preserve tooth structure
- Retention + resistance
- Structural durability
- Marginal integrity
- Preservation of periodontium
- Aesthetic consideration
Steps to crown prep (5)
Occlusal reduction
Separation
Buccal reduction
Lingual reduction
Finishing
MC prep values
Axial 0.5
Functional 1.5
Non functional 0.5
Finish 0.5 chamfer
Ceramic prep values
Axial 1
Functional 1.5
Non functional 1
Finish 1 shoulder
MCC prep values
Axial 1.3
Functional 1.8
Non functional 1.3
Finish 0.5 chamfer 0.4 shoulder
All ceramic prep
Axial 1.5
Functional 1.5-2
Buccal shoulder