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Crowns
n/a
33
Dentistry
Undergraduate 3
05/16/2015

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Cards

Term
Taper
Definition
Degreess of convergence of width
Term
Advantages gold crown
Definition
1. Strong/Durable
2. Similar hardness to enamel
3. Inert/corrosion resistance
4. Accurate fitting
5. Minimal reduction needed
6. Simple manufacture process
Term
Disadvantages gold crown
Definition
1. Aesthetics
2. Expensive
3. Inert (adhesion)
Term
Indications gold crowns
Definition
1. Posterior teeth where aesthetcs not important
2. Teeth w/ limited starting height
Term
What is marked on the impression of a crown prep for the lost wax technique
Definition
The midpoint of the prepared and adjacent teeth
Term
How is the model made for a crown
Definition
The die stone is mixed under vacuum and vibrated into the impression
Term
What is placed in the prepared and adjacent teeth of a crown prep model
Definition
Pins
Term
What happens next to a crown model with pins in it
Definition
It is separated from the model with a thin saw blade
Term
What is the the first layer applied to the model of a crown prep
Definition
die spacer
Term
How is a thin layer of wax achieved on a crown prep model?
Definition
It is dipped in molten wax
Term
Why are porcelain jacket drowns rarely made?
Definition
Strength problems
Term
What does a dentine bonded crown require plenty of
Definition
Sound tooth tissue to bond to
Term
What is the main use of dentine bonded crowns
Definition
Reshape anterior teeth
Term
What are the features of a technical ceramic crown
Definition
Porcelain crown with strong ceramic substructure
Term
Disadvantages of tachnical ceramic crown
Definition
Expensive due to need for technology
More destructive prep
Term
Advantages of MCC
Definition
1. Aesthetic
2. Strong
3. Durable
Term
Disadvantages of MCC
Definition
1. More tooth prep neeeded (porcelain needed to mask appearance of metal)
2. Patients with demanding aesthetic may reject the appearance of metal
3. Porcelain causing opposing tooth wear
Term
Indications of MCC
Definition
Aesthetic considerations rule out appearance of gold
Term
Porcelain build up of MCC
Definition
1st Opaque
2nd Dentine
3rd Enamel
Term
What does underpreparation of a crown prep casue
Definition
1. Weak sections of the crown
2. High points on the crown affecting occlusion
Term
Properties of optimal taper
Definition
1. Preserve as much tooth tissue as possible
2. Provide good retention and resistance
3. Visible finishing line
4. Allow adequate seating of cast restoration
Term
Ideal taper
Definition
6-12 degrees
Term
Factors affecting retention and resistance
Definition
Taper
Surface Area
Length
Preparation design (aux. grooves/boxes)
Cement selection
Term
Prevention of gingival damage
Definition
1. Good OH
2. Supragingival margins where possible
3. Sufficient marginal reduction
4. Soft tissue management
Sufficient marginal reduction (bulbous margins = PRF)
Term
What % of crowned teeth become non-vital
Definition
15%
Term
Material requirements of a crown/bridge
Definition
1. Accuracy of fit
2. Strength to resist occlusal forces
3. Rigidity to avoid flexure and hence cement failure
4. Thermal expansion comparable to tooth
5. Biocompatible
Term
Properties of gold
Definition
1. Adds colour
2. Tarnish/corrosion resistance
3. Adds density
4. Malleable
Term
Properties of Copper
Definition
1. Strengthens
2. Enhances colour (reddish)
Term
Properties of palladium
Definition
1. Whiten gold dramatically
2. Raises modulus
3. Improves strength/hardness
Term
Properties of indium
Definition
1. Strengthens/hardens both gold/palladium
2. Raises thermal expansion
3. Lowers melting range of gold/palladium
4. Contributes to formation of bonding oxide
Term
Effect of high levels of mercury
Definition
Carcinogenic
Term
Nickel known to cause
Definition
Contact dermatitis
Term
How do MCC work
Definition
1. Coping distrbutes stresses and provides rigid support
2. Coping inhibits cracks at ceramic/metal interface
3. Bond achieved by mechanical retention (roughness) and direct chemical bond (ion diffusion)
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