This document provides an overview of inlays and onlays. It defines inlays as restorations that involve the occlusal surface and one or more proximal surfaces of a posterior tooth, while onlays additionally involve restoring the cusp tips. The document discusses the indications, contraindications, classifications, advantages, disadvantages, tooth preparation process, and materials used for inlays and onlays. The goal of inlay and onlay preparations is to eliminate caries while maintaining adequate tooth structure for resistance and retention forms.
Fixed prosthodontics problems and solutions in dentistryPrivate Office
This document discusses common problems that can occur with dental impressions and stone models, and their potential causes and solutions. It describes issues such as voids, tears or pulls in impressions that could result in poor fitting restorations. Specific problems covered include inhibited or slow setting impressions, lack of detail, voids or tears at margins, facial-lingual pulls, tray-tooth contact, delamination, poor bonding to trays, and discrepancies in stone models. For each problem, potential causes such as expiration, contamination, inadequate technique, or material incompatibility are identified along with recommended solutions.
Provisional restoration in fixed partial denturebhuvanesh4668
This document discusses various techniques for fabricating provisional restorations. It begins by defining provisional restorations and outlining their key requirements and purposes. It then describes common provisional luting materials and different types of provisional restorations that can be used. The remainder of the document focuses on detailing specific techniques for fabricating provisional restorations, including direct fabrication techniques, indirect techniques using impressions or templates, and the use of prefabricated crowns. Key steps are outlined for a variety of techniques.
The document discusses different types of partial veneer crowns, including maxillary and mandibular posterior three-quarter crowns. It describes the tooth preparation steps for each type in detail, including occlusal and axial reduction, placement of grooves and bevels, and finishing. The advantages of partial crowns include preserving more tooth structure while still providing adequate restoration of function. Key factors in the preparation like extent of reduction, groove placement and size, and bevel design help ensure strength and longevity of the restoration.
Current Concepts in Access Cavity PreparationUrvashi Tanwar
1) Traditional access cavity preparations using large round burs and Gates Glidden drills can remove excessive tooth structure and weaken teeth.
2) A more conservative access design called the "inverse funnel" or "blind funneling" is proposed to preserve the critical peri-cervical dentin through use of smaller tapered burs and partial de-roofing of the pulp chamber while still allowing for adequate debridement and obturation.
3) A study found that endodontically treated teeth with preservation of the peri-cervical dentin and pulp chamber "soffit" had greater fracture resistance compared to traditional access preparations due to reinforcement of remaining tooth structure.
The double cord technique involves placing a small diameter cord in the gingival sulcus first, leaving it in place, and then packing a larger diameter cord over the first cord to provide additional retraction and hemostasis for making impressions of multiple prepared teeth or when the gingival tissues are compromised. The small inner cord provides retraction while the outer cord provides additional hemostasis and tissue displacement needed for accurate impressions.
A post and core restoration is used to build up tooth structure for a crown when there is not enough structure remaining. A post is placed in the root canal and a core is built up around the post to provide support and retention for the crown. Key factors in post and core design include post length and diameter, surface texture, and luting agents to provide retention, as well as post design and cement layer to provide resistance to stresses. Custom post and cores are made using direct or indirect techniques involving impression taking, while prefabricated posts are used for circular root canals.
Fixed prosthodontics problems and solutions in dentistryPrivate Office
This document discusses common problems that can occur with dental impressions and stone models, and their potential causes and solutions. It describes issues such as voids, tears or pulls in impressions that could result in poor fitting restorations. Specific problems covered include inhibited or slow setting impressions, lack of detail, voids or tears at margins, facial-lingual pulls, tray-tooth contact, delamination, poor bonding to trays, and discrepancies in stone models. For each problem, potential causes such as expiration, contamination, inadequate technique, or material incompatibility are identified along with recommended solutions.
Provisional restoration in fixed partial denturebhuvanesh4668
This document discusses various techniques for fabricating provisional restorations. It begins by defining provisional restorations and outlining their key requirements and purposes. It then describes common provisional luting materials and different types of provisional restorations that can be used. The remainder of the document focuses on detailing specific techniques for fabricating provisional restorations, including direct fabrication techniques, indirect techniques using impressions or templates, and the use of prefabricated crowns. Key steps are outlined for a variety of techniques.
The document discusses different types of partial veneer crowns, including maxillary and mandibular posterior three-quarter crowns. It describes the tooth preparation steps for each type in detail, including occlusal and axial reduction, placement of grooves and bevels, and finishing. The advantages of partial crowns include preserving more tooth structure while still providing adequate restoration of function. Key factors in the preparation like extent of reduction, groove placement and size, and bevel design help ensure strength and longevity of the restoration.
Current Concepts in Access Cavity PreparationUrvashi Tanwar
1) Traditional access cavity preparations using large round burs and Gates Glidden drills can remove excessive tooth structure and weaken teeth.
2) A more conservative access design called the "inverse funnel" or "blind funneling" is proposed to preserve the critical peri-cervical dentin through use of smaller tapered burs and partial de-roofing of the pulp chamber while still allowing for adequate debridement and obturation.
3) A study found that endodontically treated teeth with preservation of the peri-cervical dentin and pulp chamber "soffit" had greater fracture resistance compared to traditional access preparations due to reinforcement of remaining tooth structure.
The double cord technique involves placing a small diameter cord in the gingival sulcus first, leaving it in place, and then packing a larger diameter cord over the first cord to provide additional retraction and hemostasis for making impressions of multiple prepared teeth or when the gingival tissues are compromised. The small inner cord provides retraction while the outer cord provides additional hemostasis and tissue displacement needed for accurate impressions.
A post and core restoration is used to build up tooth structure for a crown when there is not enough structure remaining. A post is placed in the root canal and a core is built up around the post to provide support and retention for the crown. Key factors in post and core design include post length and diameter, surface texture, and luting agents to provide retention, as well as post design and cement layer to provide resistance to stresses. Custom post and cores are made using direct or indirect techniques involving impression taking, while prefabricated posts are used for circular root canals.
This document provides an overview of dentin bonding agents. It discusses the history and development of bonding agents from the 1950s to present. Key topics covered include the bonding mechanism, ideal requirements, microstructure of dentin, smear layer, etching of enamel and dentin, hybridization, reverse hybrid layer, wet vs dry bonding, and classifications of dentin bonding agents. The document aims to describe the important concepts and advances in dentin bonding for adhesive dentistry.
The document discusses guidelines for preparing access cavities for root canal treatment. It outlines principles such as removing all caries and defective restorations, conserving tooth structure, and providing straight-line access to canal orifices. Specific guidelines covered include visualizing internal anatomy, evaluating anatomical landmarks, preparing cavities through lingual/occlusal surfaces, and locating all root canals before placing a dental dam. The goal is to efficiently locate and treat all canals following principles of access cavity design.
1. The document discusses various techniques for repairing fractured complete dentures including midline fractures, fractures involving missing or broken parts/teeth, and relining or rebasing dentures.
2. Key steps for repairing midline fractures include assembling broken parts with wax, reinforcing with acrylic resin, reducing fracture edges, and contouring the repair area.
3. For fractures with missing parts, self-curing acrylic or wax is used to replace missing areas after making an impression.
4. Broken or missing teeth are sectioned, dove-tailed lingual surfaces prepared, and replacement teeth contoured and set with acrylic resin.
5. Relining and rebasing
Different gingival finish lines (margins) of crowns and bridgesSana Mateen Munshi
The document discusses various considerations for margin placement in tooth preparations, including biological, mechanical, and aesthetic factors. It describes advantages and disadvantages of different margin types such as supragingival and subgingival margins. Common margin designs like shoulder, bevel, and chamfer margins are explained. Guidelines are provided for reducing tooth structure during preparation in a systematic manner.
This document provides an overview of pulp capping agents and procedures. It begins with definitions of indirect and direct pulp capping. It then discusses various pulp capping agents that have been used historically and currently, including calcium hydroxide, zinc oxide-eugenol, glass ionomer cement, and mineral trioxide aggregate. For each agent, the document outlines their proposed mechanisms of action, advantages, and disadvantages based on literature. Overall, the document provides a comprehensive review of the key considerations and materials used for pulp capping procedures.
Electronic apex locator by dr.imran m.shaikhImran Shaikh
. Knowledge of apical anatomy, prudent use of radiographs and the correct use of an electronic apex locator will assist practitioners to achieve predictable results.
The document summarizes the key aspects of MOD onlay preparations including:
- MOD onlays provide cuspal protection and distribute occlusal forces over a wide area.
- Preparations involve capping functional cusps and shoeing non-functional cusps.
- Walls, occlusal bevels, tables, and counterbevels are prepared on capped surfaces. Shoe and occlusal bevel are prepared on shoed surfaces.
- Proximal portions are similar to inlay preparations with primary and secondary flares.
- Preparations are modified for different alloy types and Class IV/V materials.
Principles of tooth preparation in Fixed Partial DenturesVinay Kadavakolanu
The document discusses principles of tooth preparation for dental restorations. It summarizes that the all-ceramic crown preparation design requires the highest percentage of tooth structure reduction at 65.26%, while ceramic veneers require the lowest at 30.28%. Proper tooth preparation aims to preserve tooth structure, provide retention and resistance, maintain structural durability and marginal integrity, and preserve the periodontium. The amount and location of tooth reduction impacts these factors.
Failures in Fixed Partial Denture
(Prosthodontics FPD- Dental science)
Various types of failures in the fabrication of fixed partial denture
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
The document discusses various aspects of pontic design for fixed dental prostheses. It defines a pontic as an artificial tooth that replaces a missing natural tooth. Ideal requirements for pontics include smooth surfaces, easy cleanability, minimal pressure on the ridge, and no irritation to tissues. Factors such as biologic considerations, oral hygiene, occlusion, esthetics, and materials must be considered in pontic design. Common types of pontics include sanitary, modified sanitary, ridge lap, ovate, and others. Proper pretreatment assessment and fabrication techniques help ensure successful pontic design.
Gingival finish lines in fixed prosthodonticsNAMITHA ANAND
This document discusses different finish line designs used in fixed prosthodontics. It defines a finish line as the junction between prepared and unprepared tooth structure. Common finish line locations are subgingival, equigingival, and supragingival. Common designs include chamfer, shoulder, bevelled shoulder, and knife edge. A chamfer is the preferred design as it provides greater angulation than knife edge but less width than shoulder. Placement depends on factors like esthetics, plaque control, and periodontal health. Subgingival margins are not recommended but may be used when esthetics require. Equigingival placement at the gingival crest is optimal when possible.
dental Monoblock obturation technique or concept in endodonticsAhmed Ali
dental Monoblock obturation technique or concept in endodontics which are classified into primary ,secondary & tertiary based upon resin , now the bioceramics
Fundamental concepts of enamel and dentin adhesionRicha Singh
1. The document discusses the fundamental concepts of enamel and dentin adhesion, including the mechanisms of adhesion and classifications of dental adhesives.
2. It describes Buonocore's acid etch technique for bonding to enamel and the challenges of bonding to dentin, such as its structure, the smear layer, and stresses at the resin-dentin interface.
3. Current strategies for resin-dentin bonding are discussed, including etch-and-rinse adhesives and self-etch adhesives. Etch-and-rinse adhesives involve removing the smear layer with acid before bonding, while self-etch adhesives combine etching and priming into one step.
This document provides guidelines for preparing class II inlay restorations. It describes initial procedures like evaluating occlusion and administering anesthesia. It discusses preparing the occlusal outline, proximal box, bevels, and flares. Modifications for specific tooth shapes and situations are covered. Preparation variations like slices and flares are explained. Special considerations for abutment teeth and root surface lesions are also summarized. The document provides a thorough overview of class II inlay preparation techniques.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses apexification and indirect pulp capping procedures. Apexification is used to induce calcification at the open apex of an immature tooth to allow for root canal treatment. Materials used include calcium hydroxide, tricalcium phosphate, and MTA. Calcium hydroxide is placed in the canal and replaced every 3 months until radiographic evidence of apical barrier formation. MTA can also be used by placing it at the apex. Indirect pulp capping covers the deepest carious dentin with a biocompatible material like calcium hydroxide to prevent pulpal exposure while removing infected dentin, allowing for pulp preservation.
The document discusses the procedures for relining and rebasing dentures. Relining involves adding new base material to the tissue surface of an existing denture to improve fit. Rebasing replaces the entire denture base material while keeping the original teeth. The key steps involve preparing the tissues and denture, making an impression, and then either relining in the lab using a flask or duplicator method or rebasing which replaces the entire base material while keeping the original tooth positions. The objectives are to reestablish correct denture-tissue fit and restore the bite and retention.
The document summarizes the key design considerations for mandibular major connectors in removable partial dentures. It discusses the basic requirements, types including lingual bar, linguoplate, sublingual bar, cingulum bar, and labial bar. It also covers the design sequence, blockout and relief, waxing specifications, advantages and disadvantages of each type. Non-rigid connectors like split bar, hidden lock, and disjunct dentures are also summarized.
Inlays and onlays / implant dentistry course/ implant dentistry courseIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Principles of tooth prep /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This document provides an overview of dentin bonding agents. It discusses the history and development of bonding agents from the 1950s to present. Key topics covered include the bonding mechanism, ideal requirements, microstructure of dentin, smear layer, etching of enamel and dentin, hybridization, reverse hybrid layer, wet vs dry bonding, and classifications of dentin bonding agents. The document aims to describe the important concepts and advances in dentin bonding for adhesive dentistry.
The document discusses guidelines for preparing access cavities for root canal treatment. It outlines principles such as removing all caries and defective restorations, conserving tooth structure, and providing straight-line access to canal orifices. Specific guidelines covered include visualizing internal anatomy, evaluating anatomical landmarks, preparing cavities through lingual/occlusal surfaces, and locating all root canals before placing a dental dam. The goal is to efficiently locate and treat all canals following principles of access cavity design.
1. The document discusses various techniques for repairing fractured complete dentures including midline fractures, fractures involving missing or broken parts/teeth, and relining or rebasing dentures.
2. Key steps for repairing midline fractures include assembling broken parts with wax, reinforcing with acrylic resin, reducing fracture edges, and contouring the repair area.
3. For fractures with missing parts, self-curing acrylic or wax is used to replace missing areas after making an impression.
4. Broken or missing teeth are sectioned, dove-tailed lingual surfaces prepared, and replacement teeth contoured and set with acrylic resin.
5. Relining and rebasing
Different gingival finish lines (margins) of crowns and bridgesSana Mateen Munshi
The document discusses various considerations for margin placement in tooth preparations, including biological, mechanical, and aesthetic factors. It describes advantages and disadvantages of different margin types such as supragingival and subgingival margins. Common margin designs like shoulder, bevel, and chamfer margins are explained. Guidelines are provided for reducing tooth structure during preparation in a systematic manner.
This document provides an overview of pulp capping agents and procedures. It begins with definitions of indirect and direct pulp capping. It then discusses various pulp capping agents that have been used historically and currently, including calcium hydroxide, zinc oxide-eugenol, glass ionomer cement, and mineral trioxide aggregate. For each agent, the document outlines their proposed mechanisms of action, advantages, and disadvantages based on literature. Overall, the document provides a comprehensive review of the key considerations and materials used for pulp capping procedures.
Electronic apex locator by dr.imran m.shaikhImran Shaikh
. Knowledge of apical anatomy, prudent use of radiographs and the correct use of an electronic apex locator will assist practitioners to achieve predictable results.
The document summarizes the key aspects of MOD onlay preparations including:
- MOD onlays provide cuspal protection and distribute occlusal forces over a wide area.
- Preparations involve capping functional cusps and shoeing non-functional cusps.
- Walls, occlusal bevels, tables, and counterbevels are prepared on capped surfaces. Shoe and occlusal bevel are prepared on shoed surfaces.
- Proximal portions are similar to inlay preparations with primary and secondary flares.
- Preparations are modified for different alloy types and Class IV/V materials.
Principles of tooth preparation in Fixed Partial DenturesVinay Kadavakolanu
The document discusses principles of tooth preparation for dental restorations. It summarizes that the all-ceramic crown preparation design requires the highest percentage of tooth structure reduction at 65.26%, while ceramic veneers require the lowest at 30.28%. Proper tooth preparation aims to preserve tooth structure, provide retention and resistance, maintain structural durability and marginal integrity, and preserve the periodontium. The amount and location of tooth reduction impacts these factors.
Failures in Fixed Partial Denture
(Prosthodontics FPD- Dental science)
Various types of failures in the fabrication of fixed partial denture
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
The document discusses various aspects of pontic design for fixed dental prostheses. It defines a pontic as an artificial tooth that replaces a missing natural tooth. Ideal requirements for pontics include smooth surfaces, easy cleanability, minimal pressure on the ridge, and no irritation to tissues. Factors such as biologic considerations, oral hygiene, occlusion, esthetics, and materials must be considered in pontic design. Common types of pontics include sanitary, modified sanitary, ridge lap, ovate, and others. Proper pretreatment assessment and fabrication techniques help ensure successful pontic design.
Gingival finish lines in fixed prosthodonticsNAMITHA ANAND
This document discusses different finish line designs used in fixed prosthodontics. It defines a finish line as the junction between prepared and unprepared tooth structure. Common finish line locations are subgingival, equigingival, and supragingival. Common designs include chamfer, shoulder, bevelled shoulder, and knife edge. A chamfer is the preferred design as it provides greater angulation than knife edge but less width than shoulder. Placement depends on factors like esthetics, plaque control, and periodontal health. Subgingival margins are not recommended but may be used when esthetics require. Equigingival placement at the gingival crest is optimal when possible.
dental Monoblock obturation technique or concept in endodonticsAhmed Ali
dental Monoblock obturation technique or concept in endodontics which are classified into primary ,secondary & tertiary based upon resin , now the bioceramics
Fundamental concepts of enamel and dentin adhesionRicha Singh
1. The document discusses the fundamental concepts of enamel and dentin adhesion, including the mechanisms of adhesion and classifications of dental adhesives.
2. It describes Buonocore's acid etch technique for bonding to enamel and the challenges of bonding to dentin, such as its structure, the smear layer, and stresses at the resin-dentin interface.
3. Current strategies for resin-dentin bonding are discussed, including etch-and-rinse adhesives and self-etch adhesives. Etch-and-rinse adhesives involve removing the smear layer with acid before bonding, while self-etch adhesives combine etching and priming into one step.
This document provides guidelines for preparing class II inlay restorations. It describes initial procedures like evaluating occlusion and administering anesthesia. It discusses preparing the occlusal outline, proximal box, bevels, and flares. Modifications for specific tooth shapes and situations are covered. Preparation variations like slices and flares are explained. Special considerations for abutment teeth and root surface lesions are also summarized. The document provides a thorough overview of class II inlay preparation techniques.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses apexification and indirect pulp capping procedures. Apexification is used to induce calcification at the open apex of an immature tooth to allow for root canal treatment. Materials used include calcium hydroxide, tricalcium phosphate, and MTA. Calcium hydroxide is placed in the canal and replaced every 3 months until radiographic evidence of apical barrier formation. MTA can also be used by placing it at the apex. Indirect pulp capping covers the deepest carious dentin with a biocompatible material like calcium hydroxide to prevent pulpal exposure while removing infected dentin, allowing for pulp preservation.
The document discusses the procedures for relining and rebasing dentures. Relining involves adding new base material to the tissue surface of an existing denture to improve fit. Rebasing replaces the entire denture base material while keeping the original teeth. The key steps involve preparing the tissues and denture, making an impression, and then either relining in the lab using a flask or duplicator method or rebasing which replaces the entire base material while keeping the original tooth positions. The objectives are to reestablish correct denture-tissue fit and restore the bite and retention.
The document summarizes the key design considerations for mandibular major connectors in removable partial dentures. It discusses the basic requirements, types including lingual bar, linguoplate, sublingual bar, cingulum bar, and labial bar. It also covers the design sequence, blockout and relief, waxing specifications, advantages and disadvantages of each type. Non-rigid connectors like split bar, hidden lock, and disjunct dentures are also summarized.
Inlays and onlays / implant dentistry course/ implant dentistry courseIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Principles of tooth prep /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Principles of tooth prep /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The document discusses the principles of tooth preparation for cast restorations:
1) Preservation of tooth structure by using minimal preparation and taper, following anatomical planes, and selecting conservative margins.
2) Providing retention and resistance through opposing axial walls, taper, length, and limiting freedom of displacement.
3) Ensuring structural durability with adequate occlusal reduction and clearance, functional cusp bevels, and axial reduction to allow for bulk.
4) Maintaining marginal integrity with supragingival margins where possible and accurate margin adaptation.
inlays and onlays, classification of inlays and onlaysaishwaryakhare5
This document provides a history and overview of cast restorations. It discusses:
- The origins of cast gold inlays in the early 1900s and improvements to the investing technique.
- The advantages of cast restorations including strength, precision, biocompatibility, and finishing outside the mouth.
- Considerations for cast restorations like multiple interfaces, extensive tooth preparation needs, and galvanic deterioration.
- Indications and contraindications for different types of cast restorations like inlays, onlays, and principles of cavity preparation including bevels, tapers, and margins.
The cast metal restoration is versatile and is especially applicable to Class II onlay preparations. The process has many steps, involves many dental materials, and requires meticulous attention to prepration.
Tooth treatment planned to be restored with an intracoronal restoration, but the decay or fracture is so extensive that a direct restoration, such as amalgam or composite, would not be able to sustain or bear forces.
Additionally, when decay or fracture incorporate areas of cusp or remaining tooth structure that undermines perimeter walls of a tooth, an onlay might be indicated.
The document discusses minimally invasive ceramic inlays and onlays. It defines inlays as intracoronal restorations made outside the tooth and luted in, while onlays provide partial coverage of one or more cusps. Ceramic inlays and onlays can provide durable, esthetic alternatives to composites for restoring moderate tooth defects. They involve an indirect fabrication process and bonding to the tooth to reinforce weakened structures and allow for more conservative tooth preparation compared to crowns. The document outlines the indications, contraindications, advantages, and disadvantages of ceramic inlays and onlays and provides details on preparation design and technique considerations.
Stainless steel crowns are semi-permanent restorations used for primary and young permanent teeth. They provide superior longevity compared to other restorative materials. Stainless steel crowns require minimal tooth preparation and can be placed in a single appointment, making them efficient. They are indicated for restoring teeth with extensive decay, following pulpotomies, in patients with poor oral hygiene, and as a space maintainer. Proper tooth preparation, crown adaptation, cementation, and follow up are important for success.
The document discusses principles of tooth preparation for restorations. It covers preserving tooth structure, providing retention and resistance form, maintaining structural durability of the restoration, achieving integrity at the margins, and preserving the surrounding periodontium. Specific techniques are described such as beveling functional cusps to allow for adequate bulk of restorative material and withstanding forces of occlusion. Margin types like chamfer, shoulder, and knife edge finishes are also outlined.
An inlay may cap none, or may cap all but one cusp.
Sturdevant’s 4th ed. page579
Inlays may be used as single-tooth restorations for proximo-occlusal or gingival lesions with minimal to moderate extensions
Shillingburg page 1
An inlay may be defined as a restoration which has been constructed out of mouth from gold, porcelain, or other material & then cemented into the prepared cavity of a tooth.
William McGehee pg410
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document provides information about inlay restorations, including definitions, indications, contraindications, advantages, disadvantages, materials used, tooth preparation design, and impression techniques. It begins with an introduction to inlays and their history. Key points covered include that inlays are cast restorations used to restore damaged teeth while preserving tooth structure. Proper tooth preparation design with features like taper, bevels, and flares are described to maximize retention and adaptation of the inlay restoration. The document provides details on tooth preparation for class II inlays.
This document provides information on class II cavity preparation. It begins by defining dental caries and tooth preparation. It then classifies cavities, including class II cavities which involve the proximal surfaces of bicuspids and molars. The document outlines the principles and steps of cavity preparation, including initial cavity preparation, final cavity preparation, and modifications for primary teeth. It emphasizes removing infected dentin, providing pulp protection, and finishing enamel walls. The document provides details on techniques for class II cavity preparation and references further resources.
This document provides information on class II cavity preparation. It begins by defining dental caries and tooth preparation. It then classifies cavities, including class II cavities which involve the proximal surfaces of bicuspids and molars. The principles of cavity preparation are outlined, including initial cavity preparation to establish form and depth, and final preparation involving removal of infected dentin and pulp protection. Modifications for cavity preparation in primary teeth are also discussed.
Tooth preparation for cast metal restoration / endodontic courses by indian d...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
This document discusses dental preparation classifications and principles. It begins by defining dental preparation as the mechanical alteration of a tooth to receive a restorative material and restore form, function and esthetics. It then outlines the main classes of dental preparations - Class I-VI - based on their location on the tooth. The document discusses factors to consider in dental preparations as well as principles like removing unsupported enamel and including all defects. It also summarizes preparation features and techniques for different restorative materials like amalgam, composite and GIC. Overall, the document provides a comprehensive overview of dental preparation classifications, locations, considerations and techniques.
The document discusses principles of tooth preparation for fixed partial dentures. It covers objectives like reducing tooth structure for retention while preserving healthy tooth structure. Principles include conservative preparation with minimal taper and preservation of tooth structure. Margin placement should be supragingival when possible. Margin designs like chamfer and shoulder are described. Tooth preparation creates retention and resistance for fixed restorations.
Fixed dentures are dentures that are permanently fixed in the oral cavity and cannot be removed without help from a dentist. They can be permanently cemented to a patient's own teeth or implanted abutments, or mounted on pillar implants with screws allowing for removal. Common types of fixed dentures include crown inlays, cast dowel crowns, veneers, crowns, and prosthetic bridges. Proper preparation of abutment teeth is important for fixed dentures and involves reducing tooth tissues while maintaining anatomical shape and creating parallel axial walls slightly converging at the chamfer.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
3. INTRODUCTION
INLAY:
An inlay is an extra coronal restoration fabricated
in the laboratory , milled or 3D printed and
cemented into a prepared cavity in a tooth.
ONLAY:
An onlay is an inlay with cuspal coverage
PINLAY:
This is an inlay or onlay that gains part of its
retention from pins incorporated into the
restoration.
4. Therefore an inlay involves the occlusal surface
and one or more proximal surfaces of a posterior
tooth.
When cusp tips are restored, the term onlay is
used.
The procedure usually requires two appointments:
the first for preparing the tooth and making an
impression, and the second for delivering the
restoration to the patient.
The fabrication process is referred to as an indirect
procedure because the casting is made on a replica
of the prepared tooth in a dental laboratory.
5. inlays and onlays can be made in alloys containing
60% or more fine gold, porcelain, composite resin
and ceramics.
Traditionally, gold has been the material of choice
for inlays and onlays.
In recent years, however, porcelain has become
increasingly popular due to its strength and colour,
which can potentially match the natural colour of
teeth.
Also ceramic inlays and onlays can be readily milled
or 3D printed using CAD CAM or similar devices
6. INDICATIONS
An inlay can be used instead of amalgam for the
patient with low caries rate who require a small class
2 restoration in a tooth with ample supporting
dentine.
Small carious lesion in otherwise sound tooth.
A small carious lesion in a tooth indicated for bridge
abutement.
Low caries rate.
Patient’s request for gold instead of amalgam or
composite.
7. Large Restoration
The cast-metal inlay is an alternative to amalgam
or composite when the higher strength of a casting
alloy is needed or when the superior control of
contours and contacts that the indirect procedure
provides is desired.
It offers an excellent alternative to a crown for
teeth that have been greatly weakened by caries
or by large, failing restorations but where the facial
and lingual tooth surfaces are relatively unafected
by disease or injury.
8. For such weakened teeth, the superior physical
properties of a casting alloy are desirable to
withstand the occlusal loads placed on the
restoration;
also the onlay can be designed to distribute occlusal
loads over the tooth in a manner that decreases the
chance of tooth fracture in the future.
Preserving intact facial and lingual surfaces is
conducive to maintaining the health of the pulp and
the contiguous soft tissue (gingiva).
9. Endodontically Treated Teeth
A molar or premolar with treatment root canal filling can
be restored with a cast-metal onlay, provided that the
onlay has been thoughtfully designed to distribute
occlusal loads in such a manner as to reduce the
chance of tooth fracture.
Teeth at Risk for Fracture
Fracture lines in enamel and dentin, especially in teeth
having extensive restorations, should be recognized as
cleavage planes for possible future fracture of the
tooth.
Restoring these teeth with a restoration that braces the
tooth against fracture injury may be warranted
sometimes. Such restorations are cast onlays and
10. Removable Prothodontic Abutment
Teeth that are to serve as abutments for a removable
partial denture can be restored with cast-metal
restorations.
The advantages of cast restorations are as follows:
(1) The superior physical properties of cast-metal alloys
allow restorations to better withstand forces imparted by
a partial denture, and
(2) rest seats, guiding planes, and other aspects of
contour relating to partial dentures are better controlled
when the indirect technique is used.
11. CONTRA-INDCATIONS
High caries index.
Poor plaque control.
Paediatric patients
?Mesio-occluso-distal (MOD) cavities.
Poor dentinal support requiring a wide preparation.
12. ADVANTAGES
Better aesthetics
Superior material properties.
Longevity.
No discoloration from corrosion.
There is dimensional stability and marginal
integrity
No staining of the remaining tooth substance
They have the ability to protect the remaining
tooth substance
13. DISADVANTAGES
More costly than amalgam.
Two visit procedure i.e. more time consuming
May display metal.
More technique sensitive.
Excessive occlusal forces can lead to fracture
Because of their small size, inlays are more difficult to
handle and more readily aspirated by the patient than
are crowns during trial insertion.
Therefore, trial insertion and cemenetation should be
carried out with a rubber dam in place.
14. CLASSIFICATION
BASED ON POSITION
Eg Class I inlay, Class II inlay etc
BASED ON MATERIAL
Gold inlay
Ceramic inlay
Composite inlay
15. TOOTH PREPARATION
The basic principle governing preparation of inlay
cavities is the elimination of the carious lesion
Also ensuring that the restoration should have a
common path of insertion and withdrawal and
opposising near parallel walls that form sharp internal
angles with a flat floor.
Similar to the conventional amalgam cavities with
some modifications
These modifications are listed below:
OUTLINE FORM: dictated by extent of carious lesion.
Susceptible pits and fissures should be included in the
preparation.
16. RETENTION FORM:
Retention of inlays and onlays is micro-mechanical
with the use of dental cements
There is no need for incorporation of undercuts into the
cavity as retention from cement is usually sufficient
The walls should be near parallel with slight occlusal
divergence (about 5-7degres).
This will ensure the wax pattern is not distorted during
withdrawal and also allow insertion of the cast
restoration.
17. RESISTANCE FORM
The materials are strong in thin sections unlike
amalgam. This ensures that smaller cavities can be
restored without extensive damage to sound tooth
substance.
However, the floor should be flat with smooth walls
and sharp internal angles.
REMOVAL OF RESIDUAL CARIES
This must be done in order to avoid residual caries.
Softened dentine should be removed from the cavity
floor with excavator before lining the cavity floor.
18. CORRECTION OF ENAMEL MARGINS
All undermined enamel should be removed
The carvo-surface angles should be be bevelled
unless it is greater than 135 degrees.
This is to ensure the margins of the restoration
are adequately burnished for proper finish.
19. TOOTH PREPARATION
Armamentarium
Carbide burs are usually used for inlays or onlay preparation , but
diamond burs can be substituted if preferred :
Tapered carbide burs
Round carbide burs
Cylindrical carbide burs
Finishing stones
Mirrors,
Explore and periodontal probe.
Chisels
Hatchets
Gingival margin trimmers
Excavators.
High – and low-speed handpieces
Articulating film
20. CLASS 2 INLAY PREPARATION
Occlusal analysis
Carefully assess the occlusal contact relationship
and mark it with articulating film.
The margins of the restoration should not be too
close (less 1.0 mm) to a centric contact ;
otherwise there will be damaging stress at the
gold-enamel junction.
Apply rubber dam.
21. OUTLINE FORM
Penetrate the central groove just to the depth of the
dentine (typically about 1.8 mm)with small , round
or tapered carbide bur held in the path of withdrawal
of inlay.
Extend the occlusal outline through the central
groove with tapered carbide bur.
22. A, Proposed outline form
for distoocclusal
preparation.
B, Dimensions and
coniguration of No. 271,
No. 169L, and No. 8862
instruments.
C, Conventional 4-degree
divergence from line of
draw x/y.
23. The sharp line angles between the occlusal outline
and proximal box are rounded.
Caries Excavation
Identify and remove any caries not eliminated by
the proximal box preparation , usually an excavator
or round bur in the low-speed hand piece is used.
Place a cement base to restore the resistance form
(distorted by the excavation) and prevent distortion
of wax pattern during manipulation.
It is easily placed with a gingival margin trimmer
held in contact with the axial wall to prevent
creating an undercut.
24. Place a 45 -degree gingival margin bevel with a thin ,
tapered carbide or fine-grit diamond tissue in the axial
wall and/or pulpal floor.
N/B – an inlay is not a suitable restoration for
extensive caries , and carrying it beyond the line
angles will lead to a significant loss of retention –
25. Axio-gingival groove and bevel placement :
prepare a small, well-defined groove at the junction of
axial and gingival wall at the base of the proximal box to
enhance retention
Prepare proximal bevels on the buccal and lingual walls
with the tapered bur oriented in the path of withdrawal.
There should be a smooth transition between the
proximal and gingival bevels.
Place an occlusal bevel to improve marginal fit and allow
finishing of the restoration.
26. As a final step ,smoothen the preparation where
necessary , paying particular attention to the margins.
27. Onlay Preparation
The cast-metal onlay restoration spans the gap
between the inlay, which is primarily an
intracoronal restoration, and the full crown, which
is a totally extracoronal restoration.
The full onlay by definition caps all of the cusps of
a posterior tooth and can be designed to help
strengthen a tooth that has been weakened by
caries or previous restorative experiences.
28. It can be designed to distribute occlusal loads over the
tooth in a manner that greatly decreases the chance of
future fracture.
It is more conservative of the tooth structure than the
full crown preparation, and its supragingival margins,
when possible, are less irritating to the gingiva.
29. Initial Preparation
Occlusal Reduction
The cusps should be reduced because this improves the
access and the visibility for subsequent steps in tooth
preparation.
Also when the cusps are reduced, it is easier to assess
the height of the remaining clinical crown of the tooth,
which determines the degree of occlusal divergence
necessary for adequate retention form.
Using the No. 271 carbide bur held parallel to the long
axis of the tooth crown, a 2-mm deep pulpal loor is
prepared along the central groove
30.
31. Occlusal Step
After cusp reduction, a 0.5-mm deep occlusal step
should be present in the central groove region
between the reduced cuspal inclines and the pulpal
floor
Proximal Box
Continuing with the No. 271 carbide bur held parallel
to the long axis of the tooth crown, the proximal boxes
are prepared
32. FABRICATION OF CAST GOLD RESTORATION
STEPS
• Impression making
• Record of interocclusal relationship
• Working cast
• Working die
• Wax pattern fabrication
• Spruing
• Washing of Wax Pattern
• Investing
• Casting procedure
• Cleaning of casting
• Trying in the casting
• Cementation of casting
33. IMPRESSION TAKING FOR CAST METAL
RESTORATION
Elastomeric material is used.
The occlusal contact in maximum intercuspal position and
in all lateral and protrusive movement should be
evaluated before and after tooth preparation
RECORD OF INTEROCCLUSAL RELATIONSHIP
Simple hinge type articulator is suitable for single tooth
inlay
Semi-adjustable articulators are used for restoring
multiple teeth
34. Before preparation of the tooth, the occlusal contacts
in maximum intercuspation and in all lateral and
protrusive movements should have been carefully
evaluated.
can be obtained by (1) using commercially
available bite registration pastes or
(2) making full-arch impressions and mounting the
casts made from these impressions on a simple hinge
articulator.
35.
36. TEMPORARY RESTORATION
Interim restoration is given to the prepared tooth
It should have the following features:
Should protect and stabilise the prepared tooth and to
provide comfort to patient
Non irritating
Aesthetically satisfactory
Easy to clean and maintain
Protect and maintain the health of the periodontium
Materials used is acrylic resin
Direct or indirect technique can be used to provide
temporary restoration
37. WORKING CAST
It is an accurate replica of the prepared and adjacent
unprepared teeth over which cast metal restoration can be
fabricated
Material used is dental stone
WORKING DIE
Die is the positive replica of a prepared tooth
It should replicate the tooth preparation in the most minute
detail.
• Have adequate strength
• It should be easy and quick to fabricate
• Commonly used materials include:
Dental stone
Electroformed dies
Epoxy resins
38. WAX PATTERN FABRICATION
There are 2 methods for wax pattern fabricaton
Direct wax pattern method: Wax pattern is
prepared in the oral cavity
Indirect wax pattern method: Wax pattern is
prepared outside the oral cavity
Direct wax pattern using matrix band
Isolate the tooth
Apply matrix band and retainer
Type 1 Inlay wax is used
Soften the inlay wax with heat
Compress softened wax into prepared tooth
39. Cooling of wax causes shrinkage, this is
compensated by holding the wax in the preparation
under finger pressure until it reaches mouth
temperature.
Remove the matrix band and retainer carefully
without disturbing the wax pattern
Ask the patient to bite in centric occlusion
Examine the occlusal surface for high point and
remove them
40. Smoothen the proximal surface of the wax with fine
soft silk
Evaluate and correct all margins of the pattern
Once wax pattern is satisfactory, attach the sprue
former and reservoir to the thickest point of the wax
pattern
Remove the wax pattern and examine it for marginal
integrity
41. SPRUING
A sprue former can be made of wax, plastic and
metal
Functions are:
Sprue former provides a channel so that molten
metal flows into mould space after the wax
pattern has been eliminated
Provides reservoir of molten metal to
compensate for metal shrinkage during
solidification
Forms a channel for elimination of wax
42. WASHING OF WAX PATTERN
Wax pattern should be washed with soap and
soft hair brush carefully
This helps to reduce surface tension and air
bubbles on the surface of wax pattern
INVESTING
Once the wax pattern is cleaned, it is surrounded
by investment that hardens and forms the mould
in which casting is made
43. CASTING PROCEDURE
It includes:
Burnout for wax elimination
Expansion of the investment to compensate for casting
shrinkage
Placement of the gold alloy into the mould
Casting process proper
44. CLEANING OF CASTING
Quenching of the casting involves rapid cooling at room
temperature water bath or ice water bath
Pickling: Is a process in which discolored casting is
heated with an acid in test tube or beaker
45. TRYING IN THE CASTING
Isolate the tooth with rubber dam
Remove the temporary restoration and cement
completely
Place the casting on the tooth using light pressure
Check the occlusion by asking the patient to bite on
articulation paper
Proper occlusion tends to stabilise the cast while
improper casting tends to deflect it
Evaluate the embrassure and judge the points were
proximal recontouring is required
46. CEMENTATION OF CASTING
Clean the casting thoroughly
Apply a thin layer of vanish
Apply warm air to the gingival sulcus of the prepared
tooth to dry it
Apply a thin layer of cement on the surfaces of the casting
which will be in contact with the tooth surface and on the
tooth preparation surface
Sit the casting with the help of hand pressure using a
suitable instrument
Ask the patient to bite on a soft cotton pellet which is
placed on the occlusal surface of the casting
Clean the area with dry cotton roll
Check the occlusion for harmony of occlusion
Check the gingival sulcus to remove remnant of cement
47. RECENT ADVANCES
This include the CAD/CAM system making the
process of restoration more predictable with good
clinical outcomes with regards to:
Improved aesthetics
Reduction in time for delivering the restoration
Improved mechanical properties
48. Digital technology, computerized dentistry, and digital
dentistry are general terms used to describe the clinical
application of computer-assisted design, computer-
assisted machining (CAD/CAM).
The restorative dentistry application of CAD/CAM
technology is the fabrication and delivery of permanent
restorations for teeth and implants.
For the past 30 years the incorporation of dental
CAD/CAM into direct patient care has provided a way for
dentists to deliver esthetic ceramic restorations in a
single dental appointment.
49. There are three sequences involved in the
CAD/CAM process.
An intraoral scanner or camera is used to accurately
record the hard and soft tissue geometry of the
patient’s intraoral condition to a computer program in
the First sequence.
This is commonly referred to as a digital impression
50. Proprietary software design program is used to
create a virtual restoration (the volume proposal) in
the second sequence.
The software programs have the capability of
controlling and editing the various parameters of the
restoration such as emergence profile, proximal
contact, and occlusal relationships.
51. Once the proposal of the restoration has been
completed, a computer-controlled device is used to
produce the restoration in the third sequence.
The most common device uses a subtractive
process to machine (i.e., grind or mill, depending on
whether carbide burs or diamonds are used) the final
restoration from a preformed block of a variety of
restorative materials (typically ceramic material)
52. CAD/CAM inlay and onlay preparations are primarily
adhesive-style preparations that rely on the adhesion
of the resin cement to dentin and enamel for
retention of the restoration .
These preparations are divergent and relatively non
mechanically retentive in design as this provides a
more conservative preparation than the requirement
for mechanical resistance through grooves, slots, or
boxes.
53. The internal aspect of the preparation should avoid
sharp
divots or concavities, and all internal angles should
be rounded
Occlusal reduction should be uniform and of
sufficient
thickness to provide optimum strength of the
selected ceramic material similar to crown
preparations.
54. Preparation should allow for a minimum of 1.5 mm of
ceramic thickness in the central fossa and over
nonfunctional cusps, and 2 mm over functional
cusps.
All cavosurface margins should be strategically
placed away from the contact position of the
opposing cusp(s) and be well smooth for easy
identification in the design software.
Beveled margins must be avoided, as thin areas
of ceramic are prone to fracture
55.
56. SUMMARY….
Inlays and onlays ofer excellent restorations that
may be underused in dentistry.
The technique typically requires multiple patient
visits and excellent laboratory support, but the
resulting restorations
have the potential to last for decades.
High noble alloys are desirable for patients
concerned with allergy or sensitivity to other
restorative materials.
57. Cast-metal onlays, in particular, can be designed to
strengthen the restored tooth while conserving more
tooth structure than does a full crown.
Disadvantages such as high cost and technique
sensitivity limit their use, but when indicated, they
provide a restorative option that is less damaging to
pulpal and periodontal tissues compared with a full
crown.