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General Indications:
1. Caries extra coronal restorations (crowns).
2. Primary trauma extirpation of pulp crown.
3. Badly broken down teeth.
4. Root-filled teeth (root canal).
5. Teeth wear (chemical erosion, mechanical attrition).
6. Hypoplastic conditions.
These can be divided:
a) Hereditary defects: dentinogenesis imperfect,
amelogenesis imperfect & hypodontia.
b) Acquired defects: fluorosis.
7. To alter the shape or size or inclination of teeth.
8. To alter the occlusion.
9. Appearance: mid-line diastemas.
10. Function.
11. As part of another restoration.
Abutment-stress-breaker (precision attachment).
12. Combined indications.
13. Multiple crowns crowns + pontic...etc
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Fixed Prosthodontics II
1st & 2nd Lectures
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Fixed Prosthodontics II
1st & 2nd Lectures
A, An anterior tooth with intact clinical crown can be predictably restored with a composite restoration in
the access cavity. B, When most coronal tissue is missing, a cast post-and-core is indicated to obtain
optimal tooth preparation form. C, In mandibular molars an amalgam foundation is supported by a
cemented prefabricated post in the distal canal. D, In maxillary molars the palatal canal is most often used.
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Fixed Prosthodontics II
1st & 2nd Lectures
A, The first molar and second premolar have been restored with post-and-cores. Note the margins,
optimally located on sound tooth structure, cervical to the castings. B, Extracoronal restorations placed in.
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Fixed Prosthodontics II
1st & 2nd Lectures
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