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PRINCIPLES
OF
PREPARATIONS
Thursday, Marc
The direction of the force acting upon a segment of restoration determines the type
of stress to which the cement film is subjected. A resultant force directed away from
the tooth produces tensile stress (A), while a force parallel with the interface
produces shear(B). A force directed at an angle toward the tooth will produce a
combination of shear and compression (C) When the force is perpendicular to the
tooth, compression results (D)
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All other factors remaining constant, the greater the surface area of
cement film, the greater the retention. Therefore, a restoration on a
long preparation (A) can withstand a force that could remove a
restoration from a shorter preparation of equal diameter (B). Doubling
the height of a preparation would nearly double the area of its axial
walls.
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Of two preparations of equal height and taper, the wider (A) will
have greater retention than the narrower (B). Doubling the
diameter of a preparation doubles the area of its axial walls
under shear, and quadruples the area of the occlusal surface,
where the cement is under tension.
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The length of the primary lever arm is the shortest distance from the
line of action of the force to the nearest margin. On the short crown the
lifting force is small because the primary lever arm is short (A). With a
long crown (B), the same force produces a greater torque because its
line of action passes farther from the point of rotation.
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Surface roughness
Adhesion of dental cements depends
primarily on projections of the cement
into microscopic irregularities and
recesses on the surface being joined, the
prepared tooth should not be highly
polished
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Path of insertion
Before any tooth structure is cut, the path of insertion
should be decided first keeping in mind the principles
governing tooth reduction. This is especially
important when preparing bridge abutments, because
multiple path of insertion must be parallel.
Path must be selected that will allow the margins of
the retainer to fit against their respective preparation.
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Occlusal Reduction
Enough tooth structure must be removed from the
occlusal surface of the preparation so that when the
restoration is built back to ideal occlusion it will be
thick enough to prevent wearing through or
distorting.
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Axial Reduction
When axial reduction is sufficient, restoration
walls can have satisfactory thickness without over
contouring
When axial reduction is inadequate, a restoration
with normal contours would be thin and flexible
and would be difficult for the technician to
fabricate, invest and cast without distortion
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Reinforcing Struts
Reinforcement is accomplished in a mesiooccluso-distal ( MOD) onlay, by the isthmus
joining the proximal boxes
In a three quarter crown it is a connecting rib of
metal that joins the grooves to provide a trussing
effect
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Marginal Integrity
Three requirements for a successful restoration margins:
1. they must fit as closely as possible against the finish
line of the preparation to minimize the width of exposed
cement
2. they must have sufficient strength to withstand the
forces of mastication
3. whenever possible, they should be located in areas
where the dentist can finish and inspect them, and the
patient can clean them as well
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Margin Placement
Supragingival margins- located above the gingival
margin
2. Subgingival margins- located below the gingival
margin
3. Equigingival margins- located on the level as the
gingival margin
1.
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Advantages of supragingival
margins
They can be easily finished
They are more easily cleaned
Impression are easily made , less potential
for soft tissue damage
4. Restorations can be easily evaluated at recall
appointments
1.
2.
3.
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Featheredge or knifeedge
Chamfer
Shoulder
Shoulder with a bevel
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Featheredge
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Chamfer
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Shoulder
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MARGIN DESIGN
FEATHER EDGE
ADVANTAGE
DISADVANTAGES
INDICATION
Porcelain laminate
veneer
CHAMFER
Distinct margin,
sufficient bulk,easy
to control
Cast metal
restoration,lingual
margin of metal
ceramic crown
SHOULDER
Bulk ofrestorative
material
Less conservative of
tooth structure
Facial margin of
metal ceramic
crown,complete
ceramic crown
Bulk of material,
advantages of bevel
Less conservative
facial margin of
metal ceramic crown
with supragingival
margins
SHOULDER WITH
BEVEL
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