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Fixed Prosthodontics RSTD 3040

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Fixed Prosthodontics RSTD 3040

  1. 1. Department of Restorative Dentistry Fixed Prosthodontics RSTD 3040 Dr. V. Swain TITLE: Foundation Restorations: Treatment of Vital Teeth PURPOSE: This is part 1 of a 3-part lecture series that is meant to familiarize the student with foundation restorations (cores). The idea of a ‘Restoration Continuum’ will be introduced to help the student with the selection of the appropriate treatment when planning a case. There will also be a focus on indications and contraindications of different foundation restorations as well as a brief overview of appropriate clinical technique. SPECIFIC OBJECTIVES: To Discuss: 1. The importance of foundation restorations 2. Decision making process of foundation restorations 3. Material Selection for foundation restorations 4. The pros/cons of no core 5. The pros/cons of amalgam/resin cores 6. The pros/cons of pin amalgam/resin cores 7. The pros/cons of pin casting cores SUGGESTED READINGS: Rosenstiel SF, Land MF, Fujimoto J. Contemporary Fixed Prosthodontics 4th Ed. Chapter 6 - Mouth Preparation.
  2. 2. LECTURE OUTLINE I. Chart of Therapeutic Options (see handout) II. Continuum of Restorative Procedures (see handout) III. Foundation Restorations (Cores) a. The importance of cores b. Guiding principles in the restoration of vital teeth c. Criteria for the selection of materials i. Convenience ii. Cost iii. Physical properties
  3. 3. iv. Biological properties v. Esthetics vi. Product stability/manufacturing reliability d. 2 Rules to avoid excess tooth destruction while creating retention e. No Core i. Indications (Fig. 6.5 & 6.6 Contemporary Fixed Prosthodontics, 4th Edition. 062006: Mosby, 062006.). ii. Contraindications iii. Benefits
  4. 4. iv. Technique f. Amalgam/resin core i. Indications ii. Contraindications iii. Benefits iv. Technique g. Material selection revisited (Table. 6.1 Contemporary Fixed Prosthodontics, 4th Edition. 062006: Mosby, 062006.). h. Pin amalgam (resin) core (Fig. 6.7 Contemporary Fixed Prosthodontics, 4th Edition. 062006: Mosby, 062006.). i. Indications
  5. 5. ii. Contraindications iii. Benefits iv. Technique (5 slides) v. Space considerations
  6. 6. vi. Example of poor pin placement i. Pin castings (Fig. 6.11 Contemporary Fixed Prosthodontics, 4th Edition. 062006: Mosby, 062006.). i. Indications ii. Contraindications iii. Benefits iv. Technique

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