2017 DR Ghazy DELTA LEVEL 4 LECTURE 2 PARTIAL COVERAGE RESTORATIONS 2 PDF

2016-10-14
Class 2016/ 2017
Preparations for Partial

coverage Restorations 2
For the third years DELTA students
By Dr.
Mohamed H. Ghazy
October 8, 2016
Partial coverage preparation
Dr. Mohamed Hamed Ghazy
Department of Fixed Prosthodontics, Faculty of Dentistry, Mansoura University mghazy@mans.edu.eg
Maxillary Molar Three-quarter Crown
The same as premolar preparation except that mesio poximal

flare extend buccally

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Modifications of Three Quarter Crown for Posterior Teeth
Seven eighth crown

Used in maxillary molars. It encompasses seven eighth the
gingival circumference of the tooth.
It is a modified 34 crown, whose disto-buccal margin is placed at
the center of the buccal surface.

Advantages
ESTHETICS ARE GOOD.

RESISTANCE IS BETTER THAN THAT OF THE THREE
QUARTER CROWN.
EASY TO DO.
CLEANING BY THE PATIENT ARE ALSO FACILITATED

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7/8 Crown Indications
When tooth needs to be bound together

Cracked cusps, other than MB
When tooth is badly destroyed, but still has good MB cusp
remaining
When 3/4 crown lacks adequate resistance and retention form (FPD
abutment)
When there is extensive distal involvement by caries or previous
restoration.

7/8 Crown Preparation

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Occlusal Reduction
Mesiobuccal Cusp
Follows cusp inclines
1.0 mm clearance

Occlusal Reduction
Distobuccal Cusp
1.5 mm clearance

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Occlusal Reduction
Palatal Cusps
1.5 mm clearance

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Occlusal Shape
Inclines closely follow original tooth shape
ML cusp 2/3 of mesiodistal dimension
DL cusp 1/3 of mesiodistal dimension
Oblique ridge preserved

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Axial Reduction
1- Proximal reduction:
- Proximal contact is opened with fine tapered stone
- Complete proximal reduction with tapered stone with

rounded end.
- Reduced proximal surfaces with slight occlusal
convergence.
0.3 - 0.7 mm
measured at
gingival finish line
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Draw and Taper
6-10 degree taper

Able to visualize all walls, grooves, with one eye closed,
about 12 inches away
Draw follows long axis of tooth
6-10 degrees

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Gingival Extensions
0.5 - 1.0 mm above tissue level

and/or CEJ
0.5 mm

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Proximal Clearance
0.5 - 0.75 mm
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Proximal Flare
Forms obtuse angle (approx. 135 degree angle) with axial wall
Clears adjacent tooth
Flares divergent
~135 degrees

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Margin Depth/Form
Chamfer
0.3 - 0.7 mm
0.3 - 0.7 mm

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Grooves
Diameter of 170L when completed

Lingual wall forms 90 degree angle with
axial wall
0.5 mm above finish line

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Buccal Groove
Longer than mesial groove

Placed in approximate location
of anatomic buccal groove

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Offset
1.5 mm wide
0.5 mm deep
Follows outer cusp form
Does not require the cusp tip to be reduced!

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Occlusobuccal Bevel
0.2 - 0.3 mm wide

Removes sharp edge from cusp tip
Do not confuse offset with bevel
Distobuccal cusp beveled 0.5 mm
0.2 - 0.3 mm bevel
0.5 mm bevel

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Refinement and Finish
Defined occlusal line angles

Smooth diamond or carbide finish
Not polished
No adjacent tooth damage
Remove nicks with Moores discs

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Occlusal Reduction
57 bur
Occlusal planes clearly defined
MB cusp made steeper to preserve esthetics
ML:DL size ratio and oblique ridge

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BUCCAL CLEARANCE
RGS 3 FITS EASILY

DB CUSP

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BUCCAL CLEARANCE
RGS 2 FITS EASILY

MB CUSP

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LINGUAL CLEARANCE
RGS 3 FITS EASILY

DL AND ML CUSPS

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Axial Reduction
Lingual and Facial

Interproximal
Flare
878K diamond
850 012 needle diamond
850 012 needle diamond

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Extend past anatomic buccal groove

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NOTE: diamond tip extends beyond margin

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Parallel adjacent tooth contour

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Grooves
169L to start in triangle of success

170L to finish
Buccal groove

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Remove point to make flare

into one plane

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Offset
169L

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Bevels
7404

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Modified Three-quarter Crown for Mandibular

Premolar.
They differ from maxillary premolar 3/4 crown preparations in two
respects:
1- Additional retention is required because of the shorter lengths of
the lingual cusps of mandibular teeth.
2-The axial surface that is not prepared (the buccal) includes
the
functional cusp.
This means that additional tooth structure must be removed to provide
sufficient bulk of metal to protect the functional cusp.

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Therefore,
the proximal grooves in the buccal half of the
proximal surface as a main retentive feature.
1- Place
2- A third accessory groove( distobuccal groove) is placed

on the distal aspect of buccal surface to increase retention
and resistance.
3- Buccally, the preparation must be extended on the buccal
surface beyond the point of contact with opposing teeth by
0.5mm.

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4- The occlusal finish line is a chamfer finish

line on the buccal surface gingival to occlusal
contact to:
I . protect functional cusp
ii. Resist lingual displacement of restoration

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ANY QUESTIONS?

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2016-10-14

Class 2016/ 2017
October 16, 2016
Preparations for Partial

coverage Restorations 2
For the Level 4 DELTA students
By Dr.
Mohamed H. Ghazy
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Modifications of Three quarter Crowns for Mandibular

Posterior Teeth :
1. Reverse crown:
In this preparation the buccal surface is
included in the preparation instead of the
lingual surface.
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Reverse crown Indications:

1- Restoration of mandibular molar with damaged
buccal surface and intact lingual surface.
2- Mandibular molars with sever lingual inclinations
to be used as bridge retainers.

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2. Reverse retention retainer:

Modified type of partial veneer preparation, where the
proximal reduction extend onto the buccal surface i.e,
the outline form of this preparation includes all
surfaces except a part of buccal surface.
The buccal surface is limited by mesial and distal half
grooves,1mm wide, past the bucco-proximal line
angles.

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3. Proximal half crown

A three quarter crown with the distal surface rather than
the buccal has been left intact
Contraindicated :
1. Caries on the distal surface.
2. Patient with bad oral hygiene.

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Indicated as a single restoration or as a bridge retainer

on:
1. upper molars where it is difficult to gain access to the
distal surfaces.
2. lower mesially tilted molars.

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1. Proximal reduction:
Reduction of the mesial surface using tapered stone with

rounded end.
2. Occlusal cavity preparation:

- An occlusal cavity is prepared extending mesially,
distally, buccally and lingually to include all pits and
fissures.
- The cavity should extend onto the reduced proximal
surface.

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3. Buccal and lingual axial grooves:

The buccal and lingual grooves are placed at the buccal
and lingual surfaces.
Both grooves are parallel to each other and to the
reduced mesial surface

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4. Occlusal reduction:
- Amount of reduction in the distal half 1.5 - 2mm.
- Because the tooth is mesially tiltedmesial half is out of
occlusion amount of reduction is decreased but the
thickness of metal occlusally should be 1-1.5mm.

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Mandibular 3/4 Crown

Preserve buccal surface
Grooves/flares on buccal
Shoulder on buccal (functional) cusp
Beveled from mesial to distal
No offset
1.5 mm occlusal clearance
Chamfer finish lines

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Reverse three-quarter crown:

In this type of the preparation the buccal
surface is included in the preparation
instead of the palatal surface.
It is used in case of palatal inclination of

lower posterior teeth in arch. Proximal
grooves are placed at junction of palatal &
middle thirds of proximal surface.

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Anterior partial veneer

crown preparations
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Maxillary canine three-quarter crown

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Maxillary canine three-quarter crown

It involves the proximal
and lingual surfaces and leaves
the facial surface intact.
There is greater degree
of difficulty arise from
the placement of
grooves , there is an
undesirable display of
metal in the
interproximal embrasures .
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Tooth preparation
1.
2.
3.
4.
Incisal and lingual reduction

Axial reduction
Groove placement
Incisal offset and lingual pinhole

Incisal and lingual

reduction
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1. Incisal and lingual reduction

2. Axial reduction
3. Groove placement
4. Incisal offset and lingual pinhole
1.The anticipated location of the

margin demarked with a pencil.
2. Place depth grooves for both the

incisal bevel and the lingual
reduction.
3. A football- or wheel-shaped
diamond is used to reduce the
concave lingual wall.
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Incisal and lingual

reduction

2. Axial reduction
3. Groove placement
The lingual reduction should not extend onto the cingulum itself,
which will be prepared as part of the axial reduction.
In general, the incisal bevel makes an angle of approximately 45
degrees with the long axis of the tooth
Remove enough enamel to allow 1 mm of metal thickness.

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Incisal and lingual reduction

Axial reduction and groove 1.2. Axial
reduction
3. Groove placement
placement
The path of placement of the restoration must be

accurately determined before axial reduction
Mesiodistally, it should parallel the long axis of the tooth
Buccolingually, it should parallel the middle third or incisal two
thirds of the facial surface.
This allows the preparation of proximal grooves of

optimum length in an area of the tooth where sufficient
bulk is present
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Axial reduction and

grooves placement

2. Axial reduction
3. Groove placement

Axial reduction
An alignment groove is
placed in the centre of
cingulum wall
Half the axial reduction is

completed.
Axial reduction completed
To enhance the retention

and resistance form of the
preparation, place a
slightly exaggerated
chamfer on the lingual
aspect of the tooth
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2. Axial reduction
3. Groove placement

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Groove placement

2. Axial reduction
3. Groove placement
After completion of axial reduction, a proximal flange should result;

this guides the rotary instrument during groove placement .
The groove is placed perpendicular to the proximal wall

Groove placement
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2. Axial reduction
3. Groove placement
The proximal flares extend slightly farther onto the facial surface.
This is even more accentuated by the curvature of the proximal wall

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Groove placement

2. Axial reduction
3. Groove placement

Incisal offset and

lingual pinhole
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2. Axial reduction
3. Groove placement
It is a means of reinforcement for preserving the castings

integrity.
It create a band of thicker metal
to provide a "staple" configuration.
It provides additional
rigidity and resistance against
bending of the casting.--

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Incisal offset
The offset should follow the normal
configuration of the incisal edge

2. Axial reduction
3. Groove placement
Its transition into the proximal flares

should be smooth and continuous.
An inverted-cone diamond or
carbide can be used to prepare
the offset.

Lingual pinhole
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2. Axial reduction
3. Groove placement
Placed in the cingulum area slightly off center to improve the

retention and resistance form of this preparation.

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Lingual pinhole
The pinhole is prepared in five stages:
first. a small horizontal ledge is made with a large,
tapered carbide bur;
second, a slight "dimple" is created with a round Bur;

third, a pilot hole is prepared with a small-diameter
twist drill
fourth, the preparation is completed with a tapered
carbide bur to a pinhole depth of approximately 2 mm;
finally, a larger round bur is used to bevel the junction
between pinhole and ledge.

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Disadvantages:
Same as posterior teeth in addition to :
1- Display of metal
2- Anterior teeth are thin, so appear darker after
cementation of restoration.
3- Anterior teeth are thin, so provide limited bulk of tooth
structure for retentive grooves.
Surface Roughness Measurements: Lecture No. (2) Amplitude Parameters

Dr. Ossama Abouelatta
Department of Production Engineering & Mechanical Design, Faculty of Engineering, Mansoura University

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Mandibular anterior three-quarter crown preparation:
The same as maxillary except for incisal edge

protection by metal to prevent labial enamel
chipping under occlusal forces.

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MacBoyle retainer
-
Indicated on thin labio-lingual teeth:
1- Mandibular central and lateral.

2- Maxillary lateral incisors.
- It gains its retention by two grooves located at
the labio-proximal line angles
- Its main disadvantages is metal display
labially.
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Pinledge Retainer
It is a partial coverage restoration that covers lingual, one
or both proximal surfaces and takes its retention from pins
inserted in a prepared pinholes in the palatal surface.

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2017 DR Ghazy DELTA LEVEL 4 LECTURE 2 PARTIAL COVERAGE RESTORATIONS 2 PDF

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2017 DR Ghazy DELTA LEVEL 4 LECTURE 2 PARTIAL COVERAGE RESTORATIONS 2 PDF

Enviado por

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Formatos disponíveis

2016-10-14

Class 2016/ 2017

Preparations for Partial

Maxillary Molar Three-quarter Crown

The same as premolar preparation except that mesio poximal

Partial coverage preparation

Modifications of Three Quarter Crown for Posterior Teeth

Seven eighth crown

Partial coverage preparation

ESTHETICS ARE GOOD.

Partial coverage preparation

7/8 Crown Indications

When tooth needs to be bound together

Partial coverage preparation

7/8 Crown Preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Inclines closely follow original tooth shape

ML cusp 2/3 of mesiodistal dimension

DL cusp 1/3 of mesiodistal dimension

Oblique ridge preserved

Partial coverage preparation

- Complete proximal reduction with tapered stone with

Draw and Taper

6-10 degree taper

Draw follows long axis of tooth

Partial coverage preparation

0.5 - 1.0 mm above tissue level

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Diameter of 170L when completed

Partial coverage preparation

Longer than mesial groove

Partial coverage preparation

Partial coverage preparation

0.2 - 0.3 mm wide

Partial coverage preparation

Refinement and Finish

Defined occlusal line angles

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

Partial coverage preparation

RGS 3 FITS EASILY

Partial coverage preparation

RGS 2 FITS EASILY

Partial coverage preparation

Partial coverage preparation

RGS 3 FITS EASILY

Partial coverage preparation