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

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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)

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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

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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

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FUNCTIONAL CUSP BEVEL

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

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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

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

Produces a distinct crisp chamfer finish line

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AXIAL REDUCTION
Facial reduction maintained vertical without over-tapering

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

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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)

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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)

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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

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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

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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

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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

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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

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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

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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

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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

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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

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The Final Preparation

All line and point angles should be blunted

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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

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