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    Full Metal Crown Prep

    Uploaded by

    Jon Barnes
    The document provides instructions for preparing a tooth for a full metal crown. It describes reducing the tooth's occlusal surfaces to create planar contours and placing depth orientation grooves. It also details reducing functional cusps to 1.2mm, non-functional cusps to 0.8mm, and creating a 0.5mm chamfer finish line. Final preparations include refining reductions with fine diamonds, placing a seating groove, and blunting line and point angles. The goal is to structurally strengthen the tooth and provide retention, resistance, and resistance for the full metal crown restoration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Full Metal Crown Prep

    Uploaded by

    Jon Barnes
    7K views15 pages
    The document provides instructions for preparing a tooth for a full metal crown. It describes reducing the tooth's occlusal surfaces to create planar contours and placing depth orientation grooves. It also details reducing functional cusps to 1.2mm, non-functional cusps to 0.8mm, and creating a 0.5mm chamfer finish line. Final preparations include refining reductions with fine diamonds, placing a seating groove, and blunting line and point angles. The goal is to structurally strengthen the tooth and provide retention, resistance, and resistance for the full metal crown restoration.

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    The document provides instructions for preparing a tooth for a full metal crown. It describes reducing the tooth's occlusal surfaces to create planar contours and placing depth orientation grooves. It also details reducing functional cusps to 1.2mm, non-functional cusps to 0.8mm, and creating a 0.5mm chamfer finish line. Final preparations include refining reductions with fine diamonds, placing a seating groove, and blunting line and point angles. The goal is to structurally strengthen the tooth and provide retention, resistance, and resistance for the full metal crown restoration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7K views15 pages

    Full Metal Crown Prep

    Uploaded by

    Jon Barnes
    The document provides instructions for preparing a tooth for a full metal crown. It describes reducing the tooth's occlusal surfaces to create planar contours and placing depth orientation grooves. It also details reducing functional cusps to 1.2mm, non-functional cusps to 0.8mm, and creating a 0.5mm chamfer finish line. Final preparations include refining reductions with fine diamonds, placing a seating groove, and blunting line and point angles. The goal is to structurally strengthen the tooth and provide retention, resistance, and resistance for the full metal crown restoration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 15

    FULL VENEER CROWN PREPARATION

    That which is finished today has little inherent value, only over time will it become invaluable as a work of art.

    FULL METAL CROWN


    OCCLUSAL REDUCTION

    Planar reduction is started using a medium coarse tapered round ended diamond (6856-016)

    Objective is to achieve reduction of the occlusal contours producing planar surfaces

    FULL METAL CROWN


    OCCLUSAL REDUCTION

    Make depth orientation grooves on each triangular ridge and each primary developmental groove on facial and lingual inclines

    FULL METAL CROWN


    OCCLUSAL REDUCTION

    Depth orientation grooves on facial cusps are initially placed at 1.2 mm (functional cusp)

    Reduction of lingual cusps to 0.8 mm (non-functional cusp)

    FULL METAL CROWN


    OCCLUSAL REDUCTION
    Comparing the depth groove to the measured diameter of the diamond bur as a gauge

    Also a 1.0 mm or 1.5 mm enamel chisel can be used to judge depth of depth orientation grooves

    FULL METAL CROWN


    OCCLUSAL REDUCTION

    Occlusal reduction generally establishes the planes while initiating reduction

    Final refinement of occlusal reduction will be done with final finish

    FULL METAL CROWN


    OCCLUSAL REDUCTION

    facial

    Check occlusal clearance with strip of red rope wax and compare translucency of imprints of cusps-look for areas that are too thin - the handle helps orient wax bite

    FULL METAL CROWN


    FUNCTIONAL CUSP BEVEL

    Placed with medium coarse round ended tapered diamond (6856-016)

    FULL METAL CROWN


    FUNCTIONAL CUSP BEVEL

    Place depth reduction grooves at 1.2 mm on functional cusp, tapering gingivally to no reduction at the junction of the upper 1/3 of facial cusp

    FULL METAL CROWN


    FUNCTIONAL CUSP BEVEL

    Chisel can help to determine if the amount of reduction is close to 1.2 mm paralleling the angle of the opposing occlusal cusp incline

    FULL METAL CROWN


    FACIAL & LINGUAL AXIAL REDUCTION
    Use medium coarse tapered torpedo-ended diamond (6877K-014) bur

    Produces a distinct crisp chamfer finish line

    FULL METAL CROWN


    AXIAL REDUCTION
    Facial reduction maintained vertical without over-tapering

    Lingual reduction the bur is kept vertical without overtapering and still creating a definite chamfer

    FULL METAL CROWN


    AXIAL REDUCTION

    Facial and lingual reductions are carried into the proximal with out damaging adjacent teeth to create an island of tooth structure between each adjacent tooth

    FULL METAL CROWN


    PROXIMAL REDUCTION
    Needle Flame Chamfer

    Initial prep is started with with medium coarse needle diamond (852-012) Second part with medium coarse flame diamond (862-010) and fine flame diamond (8862-010) Last with medium coarse tapered torpedo-ended diamond (6877K-014)

    FULL METAL CROWN


    PROXIMAL REDUCTION
    Initial prep with medium coarse needle diamond (852-012) moved in up and down sawing motion until the contact is opened

    Objective is to open the mesial and distal enough to be able move to the medium coarse flame diamond (862-010)

    FULL METAL CROWN


    PROXIMAL REDUCTION
    Second step is to open space with tapered medium coarse flame diamond (862-010) and fine flame diamond (8862-010) to begin to form the chamfer line

    Initial preparation with medium coarse needle diamond (852-012) will partially open the contact, but not allow the medium coarse round ended diamond (6877K-014) to fit

    FULL METAL CROWN


    PROXIMAL REDUCTION
    Lastly use the medium coarse tapered round ended diamond (6877K-014) to refine the finish line

    The chamfer finish line is refined at 0.5 mm above the gingival crest in the proximal on mesial and distal surfaces

    FULL METAL CROWN


    PROXIMAL REDUCTIONS
    Common error made is to produce a scallop at each line angle where the diamond is not brought completely through at the same level

    Using a periodontal probe check the draw path between facial and lingual axial reductions

    FULL METAL CROWN


    Final Finishing
    Use ne round ended tapered diamond (8856-016) to go over the occlusal surfaces Remember when finish lines that are cut with medium or coarse grit diamonds always need smoothing with fine grit diamond They retain enough microscopic roughness to help to retain the restoration, yet appear smooth visually

    FULL METAL CROWN


    Final Finishing

    Use ne tapered round ended diamond (8856-016) to go over the occlusal surfaces to rene planar shape Final depth of reduction should be dened at this point to 1.0 mm on lingual non-functional cusp and 1.5 mm on facial functional cusp

    10

    FULL METAL CROWN


    Final Finishing

    Use ne tapered round ended diamond (8856-016) to go over the functional cusp to smooth and nalize reduction of incline to 1.5 mm at the cusp tip

    FULL METAL CROWN


    Final Finishing

    Use ne tapered torpedo-ended diamond (8877K-014) to smooth and dene nal chamfer nish line on facial

    11

    FULL METAL CROWN


    Final Finishing
    Use ne tapered torpedo-ended diamond (8877K-014) to smooth and rene nal chamfer nish line on lingual

    Use ne tapered torpedoended diamond (8877K-014) to smooth and rene nal chamfer nish line in the proximal surfaces

    FULL METAL CROWN


    Final Axial Reductions
    Final chamfer finish line is adjusted to the height of gingiva at 0.5 mm from the gingival crest

    Final preparation axial reductions should be about 6-8 degrees of total occlusal convergence to allow for proper path of draw of restoration

    12

    FULL METAL CROWN


    SEATING GROOVE
    The initial seating groove is placed using the 169L as a guide

    Place groove to full diameter of 169L carbide bur checking the draw against the mesial and distal surfaces

    FULL METAL CROWN


    SEATING GROOVE
    Hold 169L carbide bur against the mesial and distal taper before placing the groove

    Also can check vertical alignment of seating groove using a periodontal probe placed into groove compared to mesial and distal taper

    13

    FULL METAL CROWN


    SEATING GROOVE
    After 169L, groove is enlarged/adjusted following the overall draw to the full depth of 171 carbide bur

    Groove should extend to 0.5 mm above chamfer finish line and a definite gingival seat created

    FULL METAL CROWN


    The Final Preparation

    All line and point angles should be blunted

    14

    FULL METAL CROWN


    Features & Functions
    Functional cusp bevel
    Structural durability

    Planar occlusal reduction


    Structural durability

    Axial Reduction
    Retention and resistance

    Seating groove
    Retention and resistance

    FULL METAL CROWN


    Clinical Mandibular Full Veneer Crown

    15

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