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Cast metal Full Crown , Cast metal Complete veneer crown Zhu ziyuan Staff Room of Prosthodontics

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Cast metal Full Crown Cast metal Complete veneer crown Zhu ziyuan Staff Room of Prosthodontics Slide 2 Contents What is the full crown? How many types of the full crown are there? Whats the advantage of the metal cast crown? Which teeth need crowns? How are crowns done? Slide 3 What is the full crown A dental restoration that completely reproduces the clinical crown of a natural tooth Slide 4 Types of the crown Metal full crown Non-metal full crown Slide 5 Types of the crown Combinatorial crown Slide 6 Metal crown( posterior tooth) Cast ( ) metal crown Wrought ( ) metal crown Computer aided design and computer aided manufactory ( CAD/CAM ) metal crown Slide 7 Non-metal crown( posterior and anterior tooth) resin crown ceramic crown Cast glass ceramic crown CAD/CAM ceramic crown Porcelain crown Slide 8 combinatorial crown (posterior and anterior tooth) Porcelain fused to metal crown Metal-resin crown Slide 9 Definition of cast metal crown Cast metal crown is a full crown restoration which is cast with dental alloy. Slide 10 Advantages of cast metal crown high Strength tooth removed less fitness Long lasting Fine protection Slide 11 Posterior tooth with large defect Indications of metal crown Slide 12 Malposition ( ), torsoclusion ( )or malformation of posterior tooth( ) Weak posterior abutment ( ) of removable partial denture Slide 13 Posterior retainer of fixed partial denture Slide 14 Posterior tooth after RCT ( Root canal therapy ) Slide 15 Contraindications of metal crown Incontrollable caries People allergic to the metal Tooth with esthetical requirement Slide 16 Contraindications of metal crown Residual root Slide 17 Design of metal crown Material selection Slide 18 Design of metal crown The position of gingival margin of the crown To reduce the occlusal force Slide 19 Tooth preparation Occlusal reduction Provide the adequate room for the crown Slide 20 Tooth preparation Occlusal surface Amount of tooth reduction 1.0mm Slide 21 Essentials of Occlusal preparation Reduce the inclination of cusp Slide 22 Essentials of Occlusal preparation Prepare ladder on large filling material Slide 23 Buccal and lingual reduction Provide the adequate room for the crown Amount of tooth removing 1.0mm Slide 24 Slide 25 Slide 26 Essentials of buccal and lingual preparation The functional cusp bevel preparation Slide 27 Proximal reduction Provide the adequate room for the crown Amount of tooth removing 1.0mm Slide 28 Essentials of axical preparation Axial convergent angle 2~5 Slide 29 The axial surface angel preparation To keep the contour of the crown Slide 30 Cervical preparation Chamfer or bevel Width of shoulder Non-noble metal 0.5~0.8mm Noble metal 0.35~0.5mm Slide 31 Position of gingival margin At the gingiva 1.0mm above gingiva 0.5~1.0mm under gingiva Slide 32 Finish 1.0mm 1.0 0.5 to 0.8 Slide 33 Impression of metal crown An imprint of the teeth and surrounding tissues, formed with a plastic material to provide a mold for use in making restorations Slide 34 Impression steps Impression of opposite teeth Impression of abutment Bite Registration Slide 35 Gingival retraction Retraction cord Slide 36 Impression procedure Slide 37 Impression method Two step method One step method Slide 38 Try in of metal crown Check the gingival margin and tissular surface of the crown Try in on the die Slide 39 Try in of metal crown Placement onto the abutment Occlusal adjustment Slide 40 Essentials Pulp protection Gingiva protection Dental tissue protection Slide 41 Essentials Correct tool selection Application of temporary crown Occlusal adjustment Slide 42 Essentials Indications and contraindications To improve the retention