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Published byMiranda Stone Modified over 6 years ago
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Artificial crowns. Clinical and technological aspects.
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Fig. 2-1. The optimum restoration should satisfy biologic, mechanical, and esthetic requirements.
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Fig Damage to adjacent teeth is prevented by making a thin "lip" of enamel as the bur passes through a proximal contact.
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Fig. 2-3. Mouth mirror protecting the soft tissues during tooth preparation
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sectioned. Each tubule communicates directly with the dental pulp.
Fig a considerable amount of care is needed when preparing a tooth for a complete crown because of the extensive nature of the reduction, with many dentinal tubules sectioned. Each tubule communicates directly with the dental pulp.
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Fig Conservation of tooth structure by using partial-coverage restorations. In this case, they are used as FPD abutments to replace con-genitally missing lateral incisors.
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Fig. 2-6. Excessive taper results in considerable loss of
tooth structure (shaded area).
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Fig An anatomically prepared occlusal surface results in adequate clearance without excessive tooth reduction. A flat occlusal preparation will result in either (1) insufficient clearance or (2) an excessive amount of reduction
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Fig. 2-9. Examples where subgingival margins are indicated
Fig Examples where subgingival margins are indicated. A, To include an existing restoration. B, To extend apical to the proximal contact (adequate proximal clearance). C and D, To hide the metal collar of metal-ceramic crowns.
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Fig A and B, Poor preparation design, leading to increased margin length. C, A rough, irregular margin will make the fabrication of an accurately fitted restoration almost impossible. D, An accurately fitting margin is possible only if it is prepared smoothly.
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Fig Precise control of the orientation of the diamond is very important. A, Tilting away from the tooth creates an undercut. B, Tilting toward the tooth results in excessive convergence.
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All unsupported enamel must be removed.
Fig A chamfer should not be wider than half the bur used to form it. Otherwise, a lip of unsupported enamel will be left.
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Fig. 7-31. The recommended convergence angle is 6 degrees
Fig The recommended convergence angle is 6 degrees. This is a very slight taper. (The angle between the hands of a clock showing 12:01 is 5 1/2, degrees.)
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Internal features effectively increase resistance.
Fiji Retention form of an excessively tapered preparation can be increased by adding grooves or pinholes, because these will limit the paths of withdrawal.
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Fig Recommended tooth preparation for a metal-ceramic restoration. The facial reduction has two distinct planes.
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