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Crown 6 (Dralaa)

This document discusses different types of ceramic crowns and their properties. It focuses on describing the process of preparing teeth for porcelain jacket crowns (PJCs). Key points include: 1. PJCs are made entirely of ceramic and provide superior esthetics but have reduced strength compared to other crown types. 2. Proper tooth preparation is critical for PJCs and involves reducing the incisal edge, labial surface, lingual surface, and proximal surfaces. Depth orientation grooves are made and tooth structure is removed between them. 3. Finishing lines for PJCs are shoulder or rounded shoulder margins all around to support the porcelain and avoid stress concentrations. 4. Acry

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Abdullah Emad
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104 views6 pages

Crown 6 (Dralaa)

This document discusses different types of ceramic crowns and their properties. It focuses on describing the process of preparing teeth for porcelain jacket crowns (PJCs). Key points include: 1. PJCs are made entirely of ceramic and provide superior esthetics but have reduced strength compared to other crown types. 2. Proper tooth preparation is critical for PJCs and involves reducing the incisal edge, labial surface, lingual surface, and proximal surfaces. Depth orientation grooves are made and tooth structure is removed between them. 3. Finishing lines for PJCs are shoulder or rounded shoulder margins all around to support the porcelain and avoid stress concentrations. 4. Acry

Uploaded by

Abdullah Emad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Lecture.6 Crown &Bridge ‫االء‬.

‫د‬

Complete Ceramic Crown (All ceramic Crown)


The most esthetically pleasing fixed restoration. Because, there
is no metal understructure to block light transmission, it can
resemble natural tooth in term of color and translucency than can
any other restoration.
Since it made entirely from ceramic substance, it is the weakest
type of crown restorations (more susceptible to fracture). It isn't
conservative type of crowns. Most of the time it used as single
restoration on upper or lower incisors.

Advantages;
1. Superior esthetic.
2. Good tissue response even for subgingival margins.
3. Slightly more conservative of facial wall.

Disadvantages;
1-Reduced strength compared to MCR (PFMC).
2-Proper preparation extremely critical.
3-Among the least conservative preparations.
4-Britle nature of the material.
5-Can be used as single restoration only.

1
Indications;
1. High esthetic requirements.
2. Considerable proximal caries.
3. Endodontically treated teeth with post & cor.
4. Incisal edge reasonably intact.
5. Favorable distribution of occlusal load

Contra-Indications;
1-When superior strength required & PFMC more appropriate.
2-Thin teeth faciolingually.
3-Unfavorable distribution of occlusal load.
4-Insufficent coronal tooth structure for support. ( Very short teeth)
4-Edge to edge occlusion.
5-Bruxism

Tooth Preparation (PJC)


Recommended dimensions

Preparation requirements:
1. The preparation must be as long as possible to give support to
porcelain. Short prep ---- stress concentration in lingual area -----
fracture in this area.
2. A shoulder of uniform width (1mm) is used as gingival FL to
provide a flat seat to resist force directed from incisal.
2
3. Incisal edge is flat and should prepared with slight inclination
toward the lingual. , for the lower – labial inclination.
4. All sharp angles of preparation should be slightly rounded to
reduce the danger of fracture by point of stress concentration.
5. It should be avoided on teeth with edge to edge occlussal
6. The occlusion on all ceramic crown is critical for avoiding
relation.
fracture. Centric contacts are best confined to the middle third of
the lingual surface.

Steps in preparation;
Prior to tooth reduction a silicon index is constructed.
1. Incisal Reduction;
-- Complete reduction of incisal edge should provide 1.5 – 2mm of
clearance for porcelain in all mandibular movements, this
important to have cosmetically pleasing restoration with adequate
Flat end taper diamond bur is used, placed parallel to the incisal
strength.
inclination. (For post. teeth 2mm.occl clearance is needed ion all
cusps).
1))) Depth orientation grooves (D.O.G.) 1.3mm in depth are made
on the incisal edge using a flat end T.F.B, parallel to the incisal
inclination of the prepared incisal edge
2))) Any tooth structure between D.O.G should be removed using
the same bur at the same angle. (1.5 mm)
3))) Incisal clearance then checks in centric & eccentric occlusal
relations.

2. Labial (Facial) Reduction


Two planes reduction
Because of the anatomy of the tooth labially it should be reduced
in two planes corresponding to the two geometric planes of the
labial surface gingival plane and incisal plane.

Incisal plan;

3
1. Three D.O.G. (1mm.) are placed, the angle of these grooves
should be parallel to the inclination of this area.
2. Any tooth structure between D.O.G were then removed
following the contour of the tooth (keep the bur at the same angle)
Gingival plan;
1. D.O.G.(1mm) are placed in gingival part of L.S. parallel to the
long axis of the tooth.
2. Any tooth structure between D.O.G should be removed using
flat end T.F.B to create shoulder F.L.

3. Lingual reduction:
As for PFM but with deeper reduction (1mm)
a. Cingulum area reduction;
‐‐‐‐‐D.O.G. of 0.8mm placed in the center.
‐‐‐‐small wheel diamond is used (following the inclination of the
tooth) to reduce this area.
a. Lingual axial reduction;
a. Cingulum area reduction;
-----D.O.G. of 0.8mm placed in the center.
----small wheel diamond is used (following the inclination of the
tooth) to reduce this area.
a. Lingual axial reduction;
-----D.O.G. of 0.8mm placed parallel to the long axis of the tooth.
----Flat end T.F.B is used to reduce this area using the same angle
(to create shoulder F.L.).

4. Proximal reduction.
Preparation of the proximal surfaces is done in the same manner as
in the full
metal crown preparation.
----Silicon index can be used now to check tooth reduction

4
----- Smoothing of the preparation finally you should smooth the
preparation to remove any sharp angle.

Types of finishing lines used for PJC (all ceramic crown)


Shoulder or RS all around has been advocated as gingival finishing
line to be use with PJC. The depth and contour of shoulder is
established with the tip of flat end tapered fissure bur. Sharp angles
should be rounded to avoid creation of point of stress concentration.

5
Acrylic Jacket Crown
AJC is totally made from tooth colored acrylic resin; it can be
near perfect in appearance when fitted but later on discoloration,
loss of contour take place. Poor adaptation is great disadvantages
of acrylic crowns-------- Coefficient Thermal Expansion.
AJC is used in treatment of selected patient such as young patient
for whom other type of crown restoration are planned but delay
until complete eruption of tooth take place.
Most of time, AJC is used as temporary crown restoration.
The preparation of the tooth is basically the same as that for PJC .

Disadvantages;
1. Poor marginal fitness.
2. Poor tissue response.
3. Discoloration with time.
4. Loss of contour (wear easily).

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