W6 - Fixed partial dentures - DOWEL CORE RESTORATIONS Flashcards
What are the 3 types of fixed prosthetic appliances?
1.Extracoronal
2.Intracoronal
3.Intrradicular
What are 5 fixed extracoronal dental appliances that are not used for replacing missing teeth?
- Full coverage crown - endocrown
- Partial coverage crown
- Veneer: vestibular veneer, palatinal veneer, occlusal veneer - table top
- Splint
What are 3 fixed extracoronal dental appliances that are used for replacing missing teeth?
- Bridges
- Special bridges: winglike (extracoronal); inlay (intracoronal) retention bridges)
What are the fixed intracoronal appliances?
Inlay, Onlay and Overlay
What are the fixed intraradicular dental appliances that are not used for replacing missing teeth?
Indirect dowel core restorations
-Post and core
-Post
What are the fixed intraradicular dental appliances that are used for replacing missing teeth?
Direct dowel core restorations
- Metal post
- §Filler reinforced composite post
What are the indications of dowel core restoration?
*to retain restoration
*to protect remaining tooth structure
What are the contraindications of dowel core restoration?
- Anatomical malformations: severe curvatured root, short root
What are the 4 conditions of intraradicular restorations?
- Complete root canal filling
- Presence of minimally requested tooth structure which provides ferrule effect
- No periapical lesions
- Minimal length of the root is 8- 10 mm
DOWEL CORE RESTORATIONS PREPARATION - CORONAL PART
1. What are the Principles of tooth preparation according to Schillinburg?
- Preservation of tooth structure
- Retention and resistance form
DOWEL CORE RESTORATIONS PREPARATION - CORONAL PART
2. What are general principles of tooth preparation?
- Axial wall convergence (5–8°)
- Chamfer preparation / line of demarcation
- Avoid leaving behind very thin tooth stucture, sharp edges – special casts (epoxy resin or polyurethan)
DOWEL CORE RESTORATIONS PREPARATION - CORONAL PART
3. What is the question of undercut areas?
- Indirect posts - remove
- Direct posts - minimal invasive preparation, we can leave undercut areas behind
DOWEL CORE RESTORATIONS PREPARATION - CORONAL PART
4. What is Ferrule effect ?
Proper Ferrule effect is ensured when after preparation there is a sound circumferential coronal dentin tissue, which is 1-1,5 mm wide and at least 1,5-2 mm high (Attention: fiber reinforced posts)
DOWEL CORE RESTORATIONS PREPARATION II - ROOT PART
1. What is the order?
- Preparation of the root canal often comes before preparing the coronal part (e.g. we made the root canal filling before)
- Suggested to start with the preparation of coronal surface(not enough tooth tissue – revision of treatment plan)
DOWEL CORE RESTORATIONS PREPARATION II - ROOT PART
2. How should the environment be for the root part of dowel core restoration?
- Use a microscope
- Absolute isolation (rubber dam)