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FINISH LINES IN FPD
Namitha AP
II MDS
DEPT.OF PROSTHODONTICS
CONTENTS
 Definition
 Introduction
 Margin adaptation
 Margin placement
 Finish line location :-
1 sub-gingival
2 equi-gingival
3 supra-gingival
 Marginal geometry/finish lines
 Finish line forms :-
1 chamfer
2 heavy-chamfer
3 shoulder
4 radial-shoulder
5 shoulder with bevel
6 slanted shoulder
7 knife-edge / feather-edge
8 chisel edge
 Related articles
 References
DEFINITIONS (GPT 9)
GINGIVAL FINISH LINE
1. a line of demarcation
determined by two
points
2. in dentistry, the
junction of prepared and
unprepared toot
structure with the
margin of the restorative
material
3.tooth structure with
the margin of a
restorative material
4.planned junction of
different materials
GINGIVAL FINISHLINE
THE GINGIVAL TERMINATION OF A TOOTH
PREPARATION
FINISHLINE
Wassell R, Nohl F, Steele J, Walls A, editors. Extra-coronal Restorations:
Concepts and Clinical Application. Springer; 2018 Jul 31.347
Introduction
Shillingburg HT, Hobo S, Whitsett
LD, Jacobi R, Brackett SE.
Fundamentals of fixed
prosthodontics. Quintessence
Publishing Company; 1997
Jan.299 and 325
Preservation
of tooth
structure
Retention and
resistance
Structural
durability
Marginal
integrity
Preservation
of the
periodontium
configurationof
preparationfinishline
Shape and bulk of
restorative material in the
margin of the restoration.
marginal adaptation
degree of seating of the
restoration
Marginal
adaptation
Marginal
geometry
Margin
placement
shape or
configuration of
finish line
Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book.
Elsevier Health Sciences; 2015 Jul 28.(page no.172)
Apical extension of
the preparation
can necessitate
additional tooth
reduction
Preparations for periodontally involved teeth may necessitate considerable
reduction if the margins are to be placed subgingivally for esthetic reasons.
A shoulder margin
(2) is less
conservative
than a chamfer (1).
recurrent caries
or periodontal
disease
1.dissolution of
luting agent
2.inherent
roughness
Avoided by
smooth and
even margin
Tissue displacement
impression making
Die formation
Waxing
Casting
Marginal
gap
Cast
metal
10
microns
ceramic
50Rosenstiel SF, Land MF, editors.
Contemporary Fixed Prosthodontics-E-Book.
Elsevier Health Sciences; 2015 Jul 28.(page
Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-
E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.175)
Margin placement and preservation
of periodontium
1. AT THE BASE OF THE GINGIVAL CREVICE (GLICKMANN & STEIN )
2. HALF THE DISTANCE BETWEEN THE BASE OF THE GINGIVAL CREVICE AND THE
GINGIVAL MARGIN (SD TYLMANN)
3. SLIGHTLY BELOW THE GINGIVAL MARGIN ( R HERLANDS & L A
WEINBERG )
4. AT THE CREST OF THE GINGIVAL MARGIN ( J MACRUM )
5. SUPRA-GINGIVALLY (EISSMANN, RICHTER AND UENO,
SCHLUGER,SILNESS,PRESTON)
Rangarajan V, Padmanabhan TV. Textbook of Prosthodontics-E Book. Elsevier
SUPRAGINGIVAL MARGINS
Does not violate the gingival complex especially in areas where there is
inadequate zone of attached gingiva
Proposed in 1941 by ORBAN for improved
periodontal health
CHRISTENSEN demonstrated that the visually
accessible Supra-gingival margin can be BETTER
FITTED than sub-gingival margins
Easier to prepare
with accuracy
without trauma
to the soft tissues
Can be situated
in the hard
enamel
Easily finished
Easy to keep
clean, oral
hygiene
Impressions made
easily with less
potential for soft
tissue damage
Ease of
evaluation of
restoration on
recall
Rangarajan V, Padmanabhan
TV. Textbook of Prosthodontics-
E Book. Elsevier Health
Sciences; 2017 Jul 11.1928
Rosenstiel SF, Land MF, editors.
Contemporary Fixed Prosthodontics-E-Book.
Elsevier Health Sciences; 2015 Jul 28.(page
SUB-GINGIVAL MARGIN
(INTRA-CREVICULAR : TYLMANN)
 1968- LOË – PROVED SUB-GINGIVAL MARGINS MAJOR
CAUSE FOR PERIODONTAL DISEASE
 The deeper the restoration margin is in the sulcus,
greater is the inflammatory response. They are best
avoided unless indicated.
 Placed at least 2 mm above the alveolar crest so that the
biologic width is not encroached.
Extension for
prevention-
GV BLACK
Sterile
gingival
sulcus
Christensen demonstrated that experienced restorative dentists can miss
marginal defects as great as 120 μm when the margins are subgingival
Bjorn et al: more than half of the proximal
margins of gold crowns had defects greater than 0.2 mm and more than 40%
of the proximal margins of ceramic crowns had defects that exceeded 0.3 mm.
Shillingburg HT, Hobo S,
Whitsett LD, Jacobi R,
Brackett SE. Fundamentals
of fixed prosthodontics.
Quintessence Publishing
Company; 1997 Jan.299
and 325
INDICATIONS FOR
SUB-GINGIVAL MARGINS:
1. Esthetic demands
2. Sub-gingival tooth fracture,erosion,abrasion
3. Caries removal
4. Cover existing Sub-gingival restorations
5. To gain the needed crown length
6. To gain more favorable crown contour
7. Proximal contact areas extend into the gingival crest
8. Root sensitivity
9. Modification of axial contours needed
Disadvantages
 Plaque retention - Greater pathogenicity of the
subgingival dental plaque
 Mechanical irritation
 Violation of biological width
 Soft tissue injury
 Inaccurate fit
 Roughness of the tooth–restoration interface
 Improper crown contour- Failure to maintain the
emergence profile
Usually periodontal tissues show more signs of inflammation around crowns
EQUI-GINGIVAL MARGIN
( AT THE GINGIVAL CREST )
 MACRUM and NEWCOMB
concluded that least
amount of inflammation
seen when the margins
are placed at the
gingival crest
 HARRISON attributed
this due to the presence
of KERATINIZED
EPITHELIUM, unlike the
epithelium in the
deeper gingival sulcus
When dentist is able to
control the preparation,
impression, adaptation,
cementing and sealing
Patient can keep it free
from plaque
Esthetic demands
Indications
Ferencz JL. Maintaining and enhancing gingival
architecture in fixed prosthodontics. The Journal of
prosthetic dentistry. 1991 May 1;65(5):650-7.
EQUIGINGIVAL MARGINS
Advantages:
 Easy to impress and
finish equigingival
margins because you are
not going below the
tissue.
 You can also expect to
see very healthy gingiva,
although maybe not as
healthy as it would be if
you were to stay above
the tissue.
Disadvantages:
 Esthetics can become an issue but
if you go in even to the tissue, it is
less likely you will have an
unaesthetic result.
 If your patient has discolored teeth
and you’re using an opaque
material, a highly esthetic result is
more difficult to achieve than if
you stayed subgingival.
 Retain more plaque than
supragingival or subgingival margins
and therefore cause greater
gingival inflammation.
Ease of
preparation
Ease of
identification
Distinct
boundary
Sufficient
strength
Conservation
of tooth
structures
Guidelines
for margin
design:-
Rangarajan V, Padmanabhan TV. Textbook of Prosthodontics-E Book. Elsevier Health Sciences; 2017 Jul 11.1929
The shape of the
diamond point/bur
determines the finish
line configuration and
the taper.
CLASSIFICATION OF MARGINAL DESIGNS
BASED ON THE MARGINAL WIDTH ( A.J
HUNTER JPD 1990;64 )
 MARGINAL WIDTH LESS THAN 0.3mm
- Knife-edge/Feather Edge
 MARGINAL WIDTH UPTO 0.3mm
- Chamfer
 MARGINAL WIDTH GREATER THAN 0.3mm
- Shoulder
Hunter AJ, Hunter AR. Gingival crown margin configurations: a review and
discussion. Part I: terminology and widths. The Journal of prosthetic dentistry.
1990 Nov 1;64(5):548-52.
VARIOUS PROPOSED MARGIN
DESIGNS /FINISH LINE
CONFIGURATIONS :
1. CHAMFER
2. HEAVY CHAMFER
3. SHOULDER
4. RADIAL SHOULDER
5. SHOULDER WITH BEVEL
6. SLANTED/SLOPED SHOULDER
7. KNIFE EDGE / FEATHER EDGE
8. CHISEL EDGE
Rosenstiel SF, Land MF, editors.
Contemporary Fixed Prosthodontics-E-Book.
Elsevier Health Sciences; 2015 Jul 28.(page
Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.176)
CHAMFER FINISH LINE
•a marginal finish either curved or formed by
a plane at an obtuse angle to the external
surface of a prepared tooth
BOUCHER
•A Finish line design for tooth preparation in
which the gingival aspect meets the
external axial surface at an obtuse angle
GPT 9
•a Concave extra coronal finish line that
provides greater angulation than a knife-
edge and less width than a shoulder
TYLMAN
(1965)
•a reduction of 1.5 mm ,rounded internal line
angles & cavo-suface angle of 135 deg
BELL et al
The preferred gingival finish line for veneer metal restoration
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of
fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 323
INSTRUMENTATION :
 Tapered diamond with a rounded tip ( TORPEDO DIAMOND )
 The margin formed is an exact Image of the diamond
 With high quality true running Hand-piece
 It can be cut with the tip of a round-end diamond while the axial
reduction is being done with the side of that instrument
 less likely to produce a butt joint.
 Margin of the cast restoration that fits against it combines an
acute edge with a nearby bulk of metal.
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics.
Quintessence Publishing Company; 1997 Jan.299 and 324
PREPARATION:
 The diamond is held precisely in the intended path of the withdrawal
of the restoration
 Tilting it away from tooth creates : UNDERCUT
 Angling it towards the tooth will lead to : OVER-REDUCTION and loss of
retention
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed
prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 324
Rosenstiel SF, Land MF,
editors. Contemporary
Fixed Prosthodontics-E-
Book. Elsevier Health
Sciences; 2015 Jul
28.(page no.177)
The chamfer should never be prepared wider than half the tip of the diamond,
otherwise an unsupported LIP OF ENAMEL will result
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed
prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 324
ADVANTAGES
1. Distinct and easily identifiable margin, providing
adequate bulk for material.
2. Accurate die trimming for fabrication of cast restoration
3. Easier to control
4. Exhibits least stresses (the round concavity produces
lower stress concentration within the cement film)
5. A uniform type of geometry gingivally is established with
a chamfer preparation
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of
fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 325
HEAVY/DEEP CHAMFER
 Used to provide a 90 degree cavo-
surface angle with a large radius
rounded internal line angle.
 The radius of curvature equals the
depth of axial reduction
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of
fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 324
 It is created with a round end tapered diamond, which,
in the hands of an unskilled operator, can create an
undesirable fragile lip of enamel at the cavosurface
 This friable, unsupported enamel is very easily
fractured during or after cementation of the
restoration.
 provides better support for a ceramic crown than does a
conventional chamfer, but it is not as good as a
shoulder.
 A bevel can be added to the deep chamfer for use with
a metal restoration
Shillingburg HT, Hobo
S, Whitsett LD, Jacobi
R, Brackett SE.
Fundamentals of fixed
prosthodontics.
Quintessence
Publishing Company;
1997 Jan.299 and 325
SHOULDER
 Def : one that makes a 90 deg. Angle with the vertical axial wall of the
preparation
 Also defined by an external cavo-surface angle of 90 deg. With a butt joint of
restoration and tooth at the margin
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett
SE. Fundamentals of fixed prosthodontics. Quintessence
Publishing Company; 1997 Jan.299 and 325
DISADVANTAGES
• difficult to prepare
• Stress
analysis,microleakage,
puplal response not
favorable
• Sharp 90 deg. Internal
line angle
concentrates stress >
CORONAL FRACTURE
• Excess tooth
destruction, bulky and
unsuitable marginal
finish, except when
modified with bevel
• Thickened wax pattern
increases CASTING
SHRINKAGE
ADVANTAGES
• Wide ledge provides
resistance to occlusal
forces and minimizes
stresses that may lead to
fracture of porcelain
• Increased structural
rigidity
• Clear impression and
dies
• Provides space for
healthy restoration
contours
• maximum esthetics
• Bulk of the restoration
Ibbetson RJ. Tylman's theory and practice of fixed prosthodontics: Edited by
William FP Malone and David L. Koth. Pp. 461. 1989. Ishiyaku EuroAmerica
(distributed by Gazelle Book Services, Lancaster). Hardback
All ceramic
restorations
Facial margins
of metal-
ceramic crowns
Indications
Ibbetson RJ. Tylman's theory and practice of fixed prosthodontics:
Edited by William FP Malone and David L. Koth. Pp. 461. 1989.
Ishiyaku EuroAmerica (distributed by Gazelle Book Services,
Lancaster). Hardback
It is prepared using a flat end tapering diamond
TO BEVEL…OR NOT TO BEVEL
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed
prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 322
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett
SE. Fundamentals of fixed prosthodontics. Quintessence
Publishing Company; 1997 Jan.299 and 323
SHOULDER WITH A BEVEL
 similar to a shoulder finish line but an external
bevel is created on the gingival margin of finish line
 A bevel of 0.3 to 0.5mm is placed to form
recommended obtuse finish line
 Bevel approaches the path of insertion of
restoration & improves Marginal adaptation
DISADVANTAGE:-
 Extends the preparation into the sulcus if used on
apical margin.
Shillingburg HT, Hobo S,
Whitsett LD, Jacobi R, Brackett
SE. Fundamentals of fixed
prosthodontics. Quintessence
Publishing Company; 1997
Jan.299 and 327
BEVELS
 Defined as : the process of slanting the
finish line and curve of a tooth
preparation
 1963 ROSNER: concept of reducing the
marginal opening by use of a bevel finish
line
 GILBOE & THAYER: Allowed the
incorporation of a physiological contour
in both the temporary and final crown
Allows Cast metal
margin to be bent or
BURNISHED against
the prepared surface
MARGINAL
INTEGRITY: Minimizes
marginal discrepancy
of crown that fails to
seat completely
REMOVES
UNSUPPORTED
ENAMEL: protects
from chipping
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed
prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 322
• Extremely short walls
• Facial margins of maxillary partial coverage
restorations
• Gingival finish line on the proximal box of inlay and
onlay margin
• Shoulder is already present because of destruction
by caries or presence of previous restorations
• Indicated for porcelain-fused-to-metal preparations.
INDICATIONS
A, A shoulder provides more bulk of metal than a heavy chamfer, which may
facilitate the laboratory steps. B, A disadvantage of the shoulder bevel is that
its margin must be placed deeper in the gingival sulcus so that the wider band
of metal will be hidden (compare d with D). C, Scanning electron micrograph of
a shoulder margin prepared with a high-speed diamond. D, This margin has
been refined with a sharp chisel. E, This has been beveled with a tungsten
carbide bur. F, This bevel was placed with a sharp hand instrument.
(Microscopy by Dr. J. Sandrik, teeth prepared by Dr. G. Byrne.)
Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.177)
RADIAL SHOULDER
 It is a shoulder finish line with rounded internal
line angle.
 Indicated for all ceramic crowns,facial margin of
metal ceramic crown
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed
prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 326
PREPARATION:
 Initial instrumentation : FLAT END TAPERED DIAMOND
 A small radius rounded internal angle is instrumented with an END
CUTTING PARALLEL SIDED CARBIDE FINISHING BUR
 Finishing : Mod. BIN ANGLED CHISEL
 Cavo-surface angle:90 deg. Shoulder width is slightly less because of the
rounded internal angle
Stress concentration is less in the tooth
structure than with a classical shoulder
Support for the ceramic wall is good
Less conservative of tooth
structure
Shillingburg HT, Hobo S,
Whitsett LD, Jacobi R, Brackett
SE. Fundamentals of fixed
prosthodontics. Quintessence
Publishing Company; 1997
Jan.299 and 326
SLANTED SHOULDER/SLOPING
SHOULDER
 A 120-degree sloped shoulder margin
alternative to the 90-degree shoulder for
the facial margin of a metal-ceramic
crown
 reduces the possibility of leaving
unsupported enamel and yet leaves
sufficient bulk to allow thinning of the
metal framework to a knife-edge for
acceptable esthetics
 But less conservative of tooth structure
Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book.
Elsevier Health Sciences; 2015 Jul 28.(page no.179)
KNIFE EDGE FINISH LINE
The ultimate in finish lines
 zero cutting results at the
gingival termination.
 The dentist employs the
rotary instrument and leans
the cutting stone or bur
inward by rotating on that
gingival termination and
cutting mostly at the
occlusal end.
 It is a process of tipping the
rotary instrument
occlusally.
 formed when all the
convexities coronal to the
margin of a tooth are
removed
Knife edge on
the lingual of a
mandibular
three-quarter
crown.
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R,
Brackett SE. Fundamentals of fixed prosthodontics.
Quintessence Publishing Company; 1997 Jan.299
and 328
Disadvantages
 Thin margin difficult
to wax and cast
 Over-contouring of
restoration
 Lack of strength
 Casting is subjected
to distortion when
subjected to occlusal
loading
 Difficult to locate on
a die
 Does not provide
sufficient bulk
 The axial reduction
may fade out
Advantages
 Ultimate acute margin
for the metal
 Conservation of tooth
structure
 Ease of preparation
 Historically : facilitated
the making of
impressions with rigid
modelling compound in
copper band, as no
ledge was formed on
which the band could
catch
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of
fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 329
Indications
 Teeth with very convex
axial surface
 Surface towards which
teeth have tilted
 When root amputation is
done due to periodontal
conditions
 In younger patients:
inaccessible areas
 In pin-ledge
preparations
 Outline for partial
veneer crowns
Contra indications
 IN CERAMO-METAL
MARGINS:
 As hyper-contours will
always from the attempt
to place two restorative
materials in the space
left by the removal of
small amount of tooth
structure
Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE.
Fundamentals of fixed prosthodontics. Quintessence Publishing Company;
1997 Jan.299 and 328
CHISEL EDGE
 A variation of the feather edge.
 It is formed when there is a larger
angle between the axial surfaces
and the unprepared tooth
structure.
 It is associated with excessively
tapered prpeparation.
Unfortunately , this margin is frequently associated with a tapered
preparation or one in which the axial reduction is not correctly aligned
with the long axis of the tooth
Rangarajan V, Padmanabhan TV. Textbook of Prosthodontics-E Book.
Elsevier Health Sciences; 2017 Jul 11.1929
Finish line Preparation in a
Furcally Involved Teeth
 Ideally be placed subgingivally.
 Coronal portion of the multirooted tooth is
convex superior to the furcal region
 More acceptable margin for is a gingival
chamfer.
 To prepare a chamfer the margins must be
placed far enough gingivally to eliminate
undercuts.
 It is necessary to “flute” the preparation
by reducing the tooth axially so that the
coronal portion of the tooth is continuous
with the roots.
 The final restoration must reproduce this
fluting to develop a healthy environment
for the furca.
Baima RF. Considerations for furcation treatment Part I: Diagnosis and
treatment planning. Journal of Prosthetic Dentistry. 1986 Aug 1;56(2):138-42.
Baima RF. Considerations for furcation treatment Part I: Diagnosis and
treatment planning. Journal of Prosthetic Dentistry. 1986 Aug 1;56(2):138-42.
FINISH LINES IN CAST POSTS
AND CORES
When cutting the preparation margins for the definitive crown, a ferrule should
be preserved where possible
Wassell R,
Nohl F, Steele
J, Walls A,
editors. Extra-
coronal
Restorations:
Concepts and
Clinical
Application.
Springer; 2018
Jul 31.
Facio-occlusal margin of maxillary partial
coverage and MOD onlay restorations
 Must meet the requirement of providing an acute edge
with a nearby bulk of metal.
 The enamel must also be protected by a finishing bevel
that will leave the tooth structure at the cavosurface
angle with sufficient bulk to resist fracture and
chipping.
 A bevel is mandatory if its elimination will create an
unsupported edge of enamel
 The most commonly used
form is a narrow (0.3- to 0.5-
mm) finishing bevel
perpendicular to the path of
insertion of the restoration
 A contrabevel may also be
used where function is heavy
and esthetic requirements
are minimal
 There are a few situations in
which no bevel is required -
on a cusp that is bulky
enough to allow the acute
edge of metal and still finish
the enamel at the
cavosurface angle.
Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book.
Elsevier Health Sciences; 2015 Jul 28.(page no.179
Wassell R, Nohl F, Steele J, Walls A, editors. Extra-coronal
Restorations: Concepts and Clinical Application. Springer; 2018 Jul
31.331
Wassell R, Nohl F, Steele J, Walls A, editors. Extra-coronal Restorations:
Concepts and Clinical Application. Springer; 2018 Jul 31.332
James Marcum (1967) Equigingival crown margins caused least inflammatory response than supra or
subgingival margins
Shillinburg HT (1973) Shoulder finish line with or without a bevel have significantly less distortion than
chamfer finish lines with or without bevel
Faucher RR (1980) Shoulder & shoulder with bevel designs have less marginal distortion than chamfer
design.
PL Block (1987) Placing the margins into the gingival crevice for the purpose of esthetics or
protection from decay can not be a good practice
Felton DA (1991) The only indications for subgingival margins are caries, existing restorative
materials, tooth abrasion or fracture, increased resistance & retention form for
short clinical crowns
Bader JD (1991) Intact surfaces with cast restorations are not significantly different from the same
surfaces without cast restorations
Effect of finish line variants on marginal accuracy and fracture
strength of ceramic optimized polymer/fiber-reinforced composite
crowns. Cho et al, J Prosthet Dent 2004;91:554-60.
 This invitro study evaluated the marginal adaptation and fracture strength of
ceromer/FRC crowns with respect to the various types of finish lines.
Related articles
Tooth preparations for complete crowns: An art form based on
scientific principles. Goodacre et al. J Prosthet Dent 2001;85:363
76.
 Chamfer finish lines are used with all metal crowns
because they are easy to form with a tapered, round-end
diamond instrument and because they are distinct, being
readily visible on the prepared tooth, impression, and
die.
 Chamfers also possess adequate bulk for restorative
rigidity, and their depth is sufficient to permit the
development of normal axial contours. Therefore,
chamfer finish lines are well suited for all-metal crowns.
 Finish lines historically used with metal ceramic crowns:
chamfer, beveled chamfer, shoulder and beveled
shoulder.
 For all ceramic restorations - shoulder finish lines are
recommended for all-ceramic crowns.
• recommended chamfer finish
line reduction depths of 0.3 to
0.5 mm
All metal
restorations
• recommended thicknesses
between 1.0 and 1.5 mm for
the porcelain-veneer marginal
area of a metal-ceramic
crown
• Shoulder-s. The mean finish
line depth recorded was 0.9
mm with a range of 0.5 to 1.8
mm
Metal
ceramic
restorations
• finish line depths for all-
ceramic crowns have ranged
from 0.5 to 1.0 mm
All ceramic
restorations
The Effect of Porcelain Firing and Type of Finish Line on the
Marginal Fit of Zirconia Copings. Vojdani M et al. J Dent
Shiraz Univ Med Sci., June 2015; 16(2): 113-120.
 There were significant differences
between marginal fit of chamfer and
shoulder finish line groups before and
after porcelain firing.
 The marginal gap of copings with
shoulder finish line was significantly
smaller than those with chamfer
configuration, but there were no
significant differences between the
two marginal designs, after porcelain
firing.
Finish-line designs for ceramic crowns: A systematic review and
meta-analysis. Chen et al. J Prosthet Dent 2019;91:554-60
 Different finish-line designs have been advocated for tooth preparations of
ceramic crowns.
 The purpose of this systematic review and meta-analysis was to evaluate the
effects of finish-line designs on the marginal and internal adaptations of
ceramic crowns.
 The marginal and internal adaptations of ceramic crowns with rounded
shoulder and chamfer finish lines were included in the meta-analysis.
 Ceramic crowns with rounded shoulders exhibited significantly better
marginal adaptation than those with chamfers.
 Moreover, ceramic crowns with chamfers exhibited significantly better
internal adaptation than those with rounded shoulders
Influence of cervical finish line type on the
marginal adaptation of zirconia ceramic crowns.
comlekoglu et al, J Prosthet Dent 2018;91:554-57
 The current study evaluated the effect of different cervical finish line
designs on the marginal adaptation of a zirconia ceramic.
 Four different marginal finish lines (c: chamfer, mc: mini-chamfer, fe:
feather-edge and s: rounded shoulder) were prepared on phantom incisors.
 heavy chamfer finish line exhibited more marginal
opening than rounded shoulder on In-Ceram Alumina
crowns.
 90° shoulder with a rounded axiogingival line angle
design is recommended for the preparation of all-
ceramic and metal-ceramic crowns, rather than a
chamfer preparation,
 rheological properties of zirconia framework material
differ from these materials in many aspects, such as
creep behavior.
 This might be the cause of the poor fitting crowns with
chamfer finish line design in the current study.
 shoulder type of preparation is more resistant to
distortion.
CONCLUSION :
 When preparing teeth for Esthetic crown restorations,
the clinician must determine which cervical line is
appropriate for each specific clinical situation.
 All cervical margins must be placed in the correct
position relative to the free-gingival margin, epithelial
attachment and the alveolar housing, for a successful
restoration
 The placement of finish lines has a direct bearing on the
ease of fabrication of a restoration and on the ultimate
success of a restoration.
 Best results can be expected from margins that are as
smooth as possible and are fully exposed to a cleansing
action.
 Proper diagnosis and treatment planning, skill in
execution of tooth preparation with correct finish line
contour help to attain basic principles of tooth
preparation like marginal integration and preservation
of periodontium.
References
 Rosenstiel , Land,Fujimoto, “Contemporary fixed prosthodontics”, III edition.
 Shillingburg, “Fundamentals of fixed prosthodontics”,
 Shillingburg,”Fundamentals of tooth preparation for cast metal and porcelain
restoration”.
 Malone, “ Tylman’s theory and practice of fixed Prosthodontics”, VIII Edition.
 Mclean JW, “ The estimation of cement film thickness by an invivo technique”,
Br Dent J,1971, 131:107-111
 Geeves William, “restorative margin placement and periodontal health”, J
Prosthet Dent 1991;66:733-736
 Donovan E Terry, Chee Winston, “cervical margin design with contemporary
esthetic restorations”, Dent Clin N Am 48(2004) 417-431
 Rosenstiel Edwin, “to bevel or not to bevel”, Br Dent J, 1975, 389-392
 Rangarajan – textbook of prosthodontics
 Deepak nallaswamy – textbook of prosthodontics
 Periodontal considerations determining the design and location of
margins in restorative dentistry. Shenoy et al. Journal of
Interdisciplinary Dentistry / Jan-Apr 2012 / Vol-2 / Issue-1
 The Effect of Porcelain Firing and Type of Finish Line on the
Marginal Fit of Zirconia Copings. Vojdani M et al. J Dent Shiraz Univ
Med Sci., June 2015; 16(2): 113-120.
 Effect of finish line variants on marginal accuracy and fracture
strength of ceramic optimized polymer/fiber-reinforced composite
crowns. Cho et al, J Prosthet Dent 2004;91:554-60.
 Tooth preparations for complete crowns: An art form based on
scientific principles. Goodacre et al. J Prosthet Dent 2001;85:363-
76.
 The influence of finish line curvature on the marginal gap width of
ceramic copings. Asavapanumas et al. J Prosthet Dent
2013;109:226-233.

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FPD FINISH LINES

  • 1. FINISH LINES IN FPD Namitha AP II MDS DEPT.OF PROSTHODONTICS
  • 2. CONTENTS  Definition  Introduction  Margin adaptation  Margin placement  Finish line location :- 1 sub-gingival 2 equi-gingival 3 supra-gingival  Marginal geometry/finish lines
  • 3.  Finish line forms :- 1 chamfer 2 heavy-chamfer 3 shoulder 4 radial-shoulder 5 shoulder with bevel 6 slanted shoulder 7 knife-edge / feather-edge 8 chisel edge  Related articles  References
  • 4. DEFINITIONS (GPT 9) GINGIVAL FINISH LINE 1. a line of demarcation determined by two points 2. in dentistry, the junction of prepared and unprepared toot structure with the margin of the restorative material 3.tooth structure with the margin of a restorative material 4.planned junction of different materials GINGIVAL FINISHLINE THE GINGIVAL TERMINATION OF A TOOTH PREPARATION FINISHLINE
  • 5. Wassell R, Nohl F, Steele J, Walls A, editors. Extra-coronal Restorations: Concepts and Clinical Application. Springer; 2018 Jul 31.347
  • 6. Introduction Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 325 Preservation of tooth structure Retention and resistance Structural durability Marginal integrity Preservation of the periodontium configurationof preparationfinishline Shape and bulk of restorative material in the margin of the restoration. marginal adaptation degree of seating of the restoration Marginal adaptation Marginal geometry Margin placement shape or configuration of finish line
  • 7. Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.172) Apical extension of the preparation can necessitate additional tooth reduction Preparations for periodontally involved teeth may necessitate considerable reduction if the margins are to be placed subgingivally for esthetic reasons. A shoulder margin (2) is less conservative than a chamfer (1).
  • 8. recurrent caries or periodontal disease 1.dissolution of luting agent 2.inherent roughness Avoided by smooth and even margin Tissue displacement impression making Die formation Waxing Casting Marginal gap Cast metal 10 microns ceramic 50Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page
  • 9. Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics- E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.175)
  • 10. Margin placement and preservation of periodontium 1. AT THE BASE OF THE GINGIVAL CREVICE (GLICKMANN & STEIN ) 2. HALF THE DISTANCE BETWEEN THE BASE OF THE GINGIVAL CREVICE AND THE GINGIVAL MARGIN (SD TYLMANN) 3. SLIGHTLY BELOW THE GINGIVAL MARGIN ( R HERLANDS & L A WEINBERG ) 4. AT THE CREST OF THE GINGIVAL MARGIN ( J MACRUM ) 5. SUPRA-GINGIVALLY (EISSMANN, RICHTER AND UENO, SCHLUGER,SILNESS,PRESTON) Rangarajan V, Padmanabhan TV. Textbook of Prosthodontics-E Book. Elsevier
  • 11. SUPRAGINGIVAL MARGINS Does not violate the gingival complex especially in areas where there is inadequate zone of attached gingiva Proposed in 1941 by ORBAN for improved periodontal health CHRISTENSEN demonstrated that the visually accessible Supra-gingival margin can be BETTER FITTED than sub-gingival margins Easier to prepare with accuracy without trauma to the soft tissues Can be situated in the hard enamel Easily finished Easy to keep clean, oral hygiene Impressions made easily with less potential for soft tissue damage Ease of evaluation of restoration on recall Rangarajan V, Padmanabhan TV. Textbook of Prosthodontics- E Book. Elsevier Health Sciences; 2017 Jul 11.1928 Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page
  • 12. SUB-GINGIVAL MARGIN (INTRA-CREVICULAR : TYLMANN)  1968- LOË – PROVED SUB-GINGIVAL MARGINS MAJOR CAUSE FOR PERIODONTAL DISEASE  The deeper the restoration margin is in the sulcus, greater is the inflammatory response. They are best avoided unless indicated.  Placed at least 2 mm above the alveolar crest so that the biologic width is not encroached. Extension for prevention- GV BLACK Sterile gingival sulcus Christensen demonstrated that experienced restorative dentists can miss marginal defects as great as 120 μm when the margins are subgingival Bjorn et al: more than half of the proximal margins of gold crowns had defects greater than 0.2 mm and more than 40% of the proximal margins of ceramic crowns had defects that exceeded 0.3 mm. Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 325
  • 13. INDICATIONS FOR SUB-GINGIVAL MARGINS: 1. Esthetic demands 2. Sub-gingival tooth fracture,erosion,abrasion 3. Caries removal 4. Cover existing Sub-gingival restorations 5. To gain the needed crown length 6. To gain more favorable crown contour 7. Proximal contact areas extend into the gingival crest 8. Root sensitivity 9. Modification of axial contours needed
  • 14. Disadvantages  Plaque retention - Greater pathogenicity of the subgingival dental plaque  Mechanical irritation  Violation of biological width  Soft tissue injury  Inaccurate fit  Roughness of the tooth–restoration interface  Improper crown contour- Failure to maintain the emergence profile Usually periodontal tissues show more signs of inflammation around crowns
  • 15. EQUI-GINGIVAL MARGIN ( AT THE GINGIVAL CREST )  MACRUM and NEWCOMB concluded that least amount of inflammation seen when the margins are placed at the gingival crest  HARRISON attributed this due to the presence of KERATINIZED EPITHELIUM, unlike the epithelium in the deeper gingival sulcus When dentist is able to control the preparation, impression, adaptation, cementing and sealing Patient can keep it free from plaque Esthetic demands Indications Ferencz JL. Maintaining and enhancing gingival architecture in fixed prosthodontics. The Journal of prosthetic dentistry. 1991 May 1;65(5):650-7.
  • 16. EQUIGINGIVAL MARGINS Advantages:  Easy to impress and finish equigingival margins because you are not going below the tissue.  You can also expect to see very healthy gingiva, although maybe not as healthy as it would be if you were to stay above the tissue. Disadvantages:  Esthetics can become an issue but if you go in even to the tissue, it is less likely you will have an unaesthetic result.  If your patient has discolored teeth and you’re using an opaque material, a highly esthetic result is more difficult to achieve than if you stayed subgingival.  Retain more plaque than supragingival or subgingival margins and therefore cause greater gingival inflammation.
  • 17. Ease of preparation Ease of identification Distinct boundary Sufficient strength Conservation of tooth structures Guidelines for margin design:- Rangarajan V, Padmanabhan TV. Textbook of Prosthodontics-E Book. Elsevier Health Sciences; 2017 Jul 11.1929 The shape of the diamond point/bur determines the finish line configuration and the taper.
  • 18. CLASSIFICATION OF MARGINAL DESIGNS BASED ON THE MARGINAL WIDTH ( A.J HUNTER JPD 1990;64 )  MARGINAL WIDTH LESS THAN 0.3mm - Knife-edge/Feather Edge  MARGINAL WIDTH UPTO 0.3mm - Chamfer  MARGINAL WIDTH GREATER THAN 0.3mm - Shoulder Hunter AJ, Hunter AR. Gingival crown margin configurations: a review and discussion. Part I: terminology and widths. The Journal of prosthetic dentistry. 1990 Nov 1;64(5):548-52.
  • 19. VARIOUS PROPOSED MARGIN DESIGNS /FINISH LINE CONFIGURATIONS : 1. CHAMFER 2. HEAVY CHAMFER 3. SHOULDER 4. RADIAL SHOULDER 5. SHOULDER WITH BEVEL 6. SLANTED/SLOPED SHOULDER 7. KNIFE EDGE / FEATHER EDGE 8. CHISEL EDGE Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page
  • 20. Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.176)
  • 21. CHAMFER FINISH LINE •a marginal finish either curved or formed by a plane at an obtuse angle to the external surface of a prepared tooth BOUCHER •A Finish line design for tooth preparation in which the gingival aspect meets the external axial surface at an obtuse angle GPT 9 •a Concave extra coronal finish line that provides greater angulation than a knife- edge and less width than a shoulder TYLMAN (1965) •a reduction of 1.5 mm ,rounded internal line angles & cavo-suface angle of 135 deg BELL et al The preferred gingival finish line for veneer metal restoration Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 323
  • 22. INSTRUMENTATION :  Tapered diamond with a rounded tip ( TORPEDO DIAMOND )  The margin formed is an exact Image of the diamond  With high quality true running Hand-piece  It can be cut with the tip of a round-end diamond while the axial reduction is being done with the side of that instrument  less likely to produce a butt joint.  Margin of the cast restoration that fits against it combines an acute edge with a nearby bulk of metal. Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 324
  • 23. PREPARATION:  The diamond is held precisely in the intended path of the withdrawal of the restoration  Tilting it away from tooth creates : UNDERCUT  Angling it towards the tooth will lead to : OVER-REDUCTION and loss of retention Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 324
  • 24. Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E- Book. Elsevier Health Sciences; 2015 Jul 28.(page no.177)
  • 25. The chamfer should never be prepared wider than half the tip of the diamond, otherwise an unsupported LIP OF ENAMEL will result Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 324
  • 26. ADVANTAGES 1. Distinct and easily identifiable margin, providing adequate bulk for material. 2. Accurate die trimming for fabrication of cast restoration 3. Easier to control 4. Exhibits least stresses (the round concavity produces lower stress concentration within the cement film) 5. A uniform type of geometry gingivally is established with a chamfer preparation Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 325
  • 27. HEAVY/DEEP CHAMFER  Used to provide a 90 degree cavo- surface angle with a large radius rounded internal line angle.  The radius of curvature equals the depth of axial reduction Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 324
  • 28.  It is created with a round end tapered diamond, which, in the hands of an unskilled operator, can create an undesirable fragile lip of enamel at the cavosurface  This friable, unsupported enamel is very easily fractured during or after cementation of the restoration.  provides better support for a ceramic crown than does a conventional chamfer, but it is not as good as a shoulder.  A bevel can be added to the deep chamfer for use with a metal restoration Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 325
  • 29. SHOULDER  Def : one that makes a 90 deg. Angle with the vertical axial wall of the preparation  Also defined by an external cavo-surface angle of 90 deg. With a butt joint of restoration and tooth at the margin Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 325
  • 30. DISADVANTAGES • difficult to prepare • Stress analysis,microleakage, puplal response not favorable • Sharp 90 deg. Internal line angle concentrates stress > CORONAL FRACTURE • Excess tooth destruction, bulky and unsuitable marginal finish, except when modified with bevel • Thickened wax pattern increases CASTING SHRINKAGE ADVANTAGES • Wide ledge provides resistance to occlusal forces and minimizes stresses that may lead to fracture of porcelain • Increased structural rigidity • Clear impression and dies • Provides space for healthy restoration contours • maximum esthetics • Bulk of the restoration Ibbetson RJ. Tylman's theory and practice of fixed prosthodontics: Edited by William FP Malone and David L. Koth. Pp. 461. 1989. Ishiyaku EuroAmerica (distributed by Gazelle Book Services, Lancaster). Hardback
  • 31. All ceramic restorations Facial margins of metal- ceramic crowns Indications Ibbetson RJ. Tylman's theory and practice of fixed prosthodontics: Edited by William FP Malone and David L. Koth. Pp. 461. 1989. Ishiyaku EuroAmerica (distributed by Gazelle Book Services, Lancaster). Hardback It is prepared using a flat end tapering diamond
  • 32. TO BEVEL…OR NOT TO BEVEL Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 322
  • 33. Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 323
  • 34. SHOULDER WITH A BEVEL  similar to a shoulder finish line but an external bevel is created on the gingival margin of finish line  A bevel of 0.3 to 0.5mm is placed to form recommended obtuse finish line  Bevel approaches the path of insertion of restoration & improves Marginal adaptation DISADVANTAGE:-  Extends the preparation into the sulcus if used on apical margin. Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 327
  • 35. BEVELS  Defined as : the process of slanting the finish line and curve of a tooth preparation  1963 ROSNER: concept of reducing the marginal opening by use of a bevel finish line  GILBOE & THAYER: Allowed the incorporation of a physiological contour in both the temporary and final crown Allows Cast metal margin to be bent or BURNISHED against the prepared surface MARGINAL INTEGRITY: Minimizes marginal discrepancy of crown that fails to seat completely REMOVES UNSUPPORTED ENAMEL: protects from chipping Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 322 • Extremely short walls • Facial margins of maxillary partial coverage restorations • Gingival finish line on the proximal box of inlay and onlay margin • Shoulder is already present because of destruction by caries or presence of previous restorations • Indicated for porcelain-fused-to-metal preparations. INDICATIONS
  • 36. A, A shoulder provides more bulk of metal than a heavy chamfer, which may facilitate the laboratory steps. B, A disadvantage of the shoulder bevel is that its margin must be placed deeper in the gingival sulcus so that the wider band of metal will be hidden (compare d with D). C, Scanning electron micrograph of a shoulder margin prepared with a high-speed diamond. D, This margin has been refined with a sharp chisel. E, This has been beveled with a tungsten carbide bur. F, This bevel was placed with a sharp hand instrument. (Microscopy by Dr. J. Sandrik, teeth prepared by Dr. G. Byrne.) Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.177)
  • 37. RADIAL SHOULDER  It is a shoulder finish line with rounded internal line angle.  Indicated for all ceramic crowns,facial margin of metal ceramic crown Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 326
  • 38. PREPARATION:  Initial instrumentation : FLAT END TAPERED DIAMOND  A small radius rounded internal angle is instrumented with an END CUTTING PARALLEL SIDED CARBIDE FINISHING BUR  Finishing : Mod. BIN ANGLED CHISEL  Cavo-surface angle:90 deg. Shoulder width is slightly less because of the rounded internal angle Stress concentration is less in the tooth structure than with a classical shoulder Support for the ceramic wall is good Less conservative of tooth structure Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 326
  • 39. SLANTED SHOULDER/SLOPING SHOULDER  A 120-degree sloped shoulder margin alternative to the 90-degree shoulder for the facial margin of a metal-ceramic crown  reduces the possibility of leaving unsupported enamel and yet leaves sufficient bulk to allow thinning of the metal framework to a knife-edge for acceptable esthetics  But less conservative of tooth structure Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.179)
  • 40. KNIFE EDGE FINISH LINE The ultimate in finish lines  zero cutting results at the gingival termination.  The dentist employs the rotary instrument and leans the cutting stone or bur inward by rotating on that gingival termination and cutting mostly at the occlusal end.  It is a process of tipping the rotary instrument occlusally.  formed when all the convexities coronal to the margin of a tooth are removed Knife edge on the lingual of a mandibular three-quarter crown. Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 328
  • 41. Disadvantages  Thin margin difficult to wax and cast  Over-contouring of restoration  Lack of strength  Casting is subjected to distortion when subjected to occlusal loading  Difficult to locate on a die  Does not provide sufficient bulk  The axial reduction may fade out Advantages  Ultimate acute margin for the metal  Conservation of tooth structure  Ease of preparation  Historically : facilitated the making of impressions with rigid modelling compound in copper band, as no ledge was formed on which the band could catch Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 329
  • 42. Indications  Teeth with very convex axial surface  Surface towards which teeth have tilted  When root amputation is done due to periodontal conditions  In younger patients: inaccessible areas  In pin-ledge preparations  Outline for partial veneer crowns Contra indications  IN CERAMO-METAL MARGINS:  As hyper-contours will always from the attempt to place two restorative materials in the space left by the removal of small amount of tooth structure Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. Quintessence Publishing Company; 1997 Jan.299 and 328
  • 43. CHISEL EDGE  A variation of the feather edge.  It is formed when there is a larger angle between the axial surfaces and the unprepared tooth structure.  It is associated with excessively tapered prpeparation. Unfortunately , this margin is frequently associated with a tapered preparation or one in which the axial reduction is not correctly aligned with the long axis of the tooth Rangarajan V, Padmanabhan TV. Textbook of Prosthodontics-E Book. Elsevier Health Sciences; 2017 Jul 11.1929
  • 44. Finish line Preparation in a Furcally Involved Teeth  Ideally be placed subgingivally.  Coronal portion of the multirooted tooth is convex superior to the furcal region  More acceptable margin for is a gingival chamfer.  To prepare a chamfer the margins must be placed far enough gingivally to eliminate undercuts.  It is necessary to “flute” the preparation by reducing the tooth axially so that the coronal portion of the tooth is continuous with the roots.  The final restoration must reproduce this fluting to develop a healthy environment for the furca. Baima RF. Considerations for furcation treatment Part I: Diagnosis and treatment planning. Journal of Prosthetic Dentistry. 1986 Aug 1;56(2):138-42.
  • 45. Baima RF. Considerations for furcation treatment Part I: Diagnosis and treatment planning. Journal of Prosthetic Dentistry. 1986 Aug 1;56(2):138-42.
  • 46. FINISH LINES IN CAST POSTS AND CORES When cutting the preparation margins for the definitive crown, a ferrule should be preserved where possible Wassell R, Nohl F, Steele J, Walls A, editors. Extra- coronal Restorations: Concepts and Clinical Application. Springer; 2018 Jul 31.
  • 47. Facio-occlusal margin of maxillary partial coverage and MOD onlay restorations  Must meet the requirement of providing an acute edge with a nearby bulk of metal.  The enamel must also be protected by a finishing bevel that will leave the tooth structure at the cavosurface angle with sufficient bulk to resist fracture and chipping.  A bevel is mandatory if its elimination will create an unsupported edge of enamel
  • 48.  The most commonly used form is a narrow (0.3- to 0.5- mm) finishing bevel perpendicular to the path of insertion of the restoration  A contrabevel may also be used where function is heavy and esthetic requirements are minimal  There are a few situations in which no bevel is required - on a cusp that is bulky enough to allow the acute edge of metal and still finish the enamel at the cavosurface angle.
  • 49. Rosenstiel SF, Land MF, editors. Contemporary Fixed Prosthodontics-E-Book. Elsevier Health Sciences; 2015 Jul 28.(page no.179
  • 50.
  • 51. Wassell R, Nohl F, Steele J, Walls A, editors. Extra-coronal Restorations: Concepts and Clinical Application. Springer; 2018 Jul 31.331
  • 52. Wassell R, Nohl F, Steele J, Walls A, editors. Extra-coronal Restorations: Concepts and Clinical Application. Springer; 2018 Jul 31.332
  • 53. James Marcum (1967) Equigingival crown margins caused least inflammatory response than supra or subgingival margins Shillinburg HT (1973) Shoulder finish line with or without a bevel have significantly less distortion than chamfer finish lines with or without bevel Faucher RR (1980) Shoulder & shoulder with bevel designs have less marginal distortion than chamfer design. PL Block (1987) Placing the margins into the gingival crevice for the purpose of esthetics or protection from decay can not be a good practice Felton DA (1991) The only indications for subgingival margins are caries, existing restorative materials, tooth abrasion or fracture, increased resistance & retention form for short clinical crowns Bader JD (1991) Intact surfaces with cast restorations are not significantly different from the same surfaces without cast restorations
  • 54. Effect of finish line variants on marginal accuracy and fracture strength of ceramic optimized polymer/fiber-reinforced composite crowns. Cho et al, J Prosthet Dent 2004;91:554-60.  This invitro study evaluated the marginal adaptation and fracture strength of ceromer/FRC crowns with respect to the various types of finish lines. Related articles
  • 55.
  • 56. Tooth preparations for complete crowns: An art form based on scientific principles. Goodacre et al. J Prosthet Dent 2001;85:363 76.  Chamfer finish lines are used with all metal crowns because they are easy to form with a tapered, round-end diamond instrument and because they are distinct, being readily visible on the prepared tooth, impression, and die.  Chamfers also possess adequate bulk for restorative rigidity, and their depth is sufficient to permit the development of normal axial contours. Therefore, chamfer finish lines are well suited for all-metal crowns.  Finish lines historically used with metal ceramic crowns: chamfer, beveled chamfer, shoulder and beveled shoulder.  For all ceramic restorations - shoulder finish lines are recommended for all-ceramic crowns.
  • 57. • recommended chamfer finish line reduction depths of 0.3 to 0.5 mm All metal restorations • recommended thicknesses between 1.0 and 1.5 mm for the porcelain-veneer marginal area of a metal-ceramic crown • Shoulder-s. The mean finish line depth recorded was 0.9 mm with a range of 0.5 to 1.8 mm Metal ceramic restorations • finish line depths for all- ceramic crowns have ranged from 0.5 to 1.0 mm All ceramic restorations
  • 58. The Effect of Porcelain Firing and Type of Finish Line on the Marginal Fit of Zirconia Copings. Vojdani M et al. J Dent Shiraz Univ Med Sci., June 2015; 16(2): 113-120.  There were significant differences between marginal fit of chamfer and shoulder finish line groups before and after porcelain firing.  The marginal gap of copings with shoulder finish line was significantly smaller than those with chamfer configuration, but there were no significant differences between the two marginal designs, after porcelain firing.
  • 59. Finish-line designs for ceramic crowns: A systematic review and meta-analysis. Chen et al. J Prosthet Dent 2019;91:554-60  Different finish-line designs have been advocated for tooth preparations of ceramic crowns.  The purpose of this systematic review and meta-analysis was to evaluate the effects of finish-line designs on the marginal and internal adaptations of ceramic crowns.  The marginal and internal adaptations of ceramic crowns with rounded shoulder and chamfer finish lines were included in the meta-analysis.  Ceramic crowns with rounded shoulders exhibited significantly better marginal adaptation than those with chamfers.  Moreover, ceramic crowns with chamfers exhibited significantly better internal adaptation than those with rounded shoulders
  • 60. Influence of cervical finish line type on the marginal adaptation of zirconia ceramic crowns. comlekoglu et al, J Prosthet Dent 2018;91:554-57  The current study evaluated the effect of different cervical finish line designs on the marginal adaptation of a zirconia ceramic.  Four different marginal finish lines (c: chamfer, mc: mini-chamfer, fe: feather-edge and s: rounded shoulder) were prepared on phantom incisors.
  • 61.  heavy chamfer finish line exhibited more marginal opening than rounded shoulder on In-Ceram Alumina crowns.  90° shoulder with a rounded axiogingival line angle design is recommended for the preparation of all- ceramic and metal-ceramic crowns, rather than a chamfer preparation,  rheological properties of zirconia framework material differ from these materials in many aspects, such as creep behavior.  This might be the cause of the poor fitting crowns with chamfer finish line design in the current study.  shoulder type of preparation is more resistant to distortion.
  • 62. CONCLUSION :  When preparing teeth for Esthetic crown restorations, the clinician must determine which cervical line is appropriate for each specific clinical situation.  All cervical margins must be placed in the correct position relative to the free-gingival margin, epithelial attachment and the alveolar housing, for a successful restoration  The placement of finish lines has a direct bearing on the ease of fabrication of a restoration and on the ultimate success of a restoration.  Best results can be expected from margins that are as smooth as possible and are fully exposed to a cleansing action.  Proper diagnosis and treatment planning, skill in execution of tooth preparation with correct finish line contour help to attain basic principles of tooth preparation like marginal integration and preservation of periodontium.
  • 63. References  Rosenstiel , Land,Fujimoto, “Contemporary fixed prosthodontics”, III edition.  Shillingburg, “Fundamentals of fixed prosthodontics”,  Shillingburg,”Fundamentals of tooth preparation for cast metal and porcelain restoration”.  Malone, “ Tylman’s theory and practice of fixed Prosthodontics”, VIII Edition.  Mclean JW, “ The estimation of cement film thickness by an invivo technique”, Br Dent J,1971, 131:107-111  Geeves William, “restorative margin placement and periodontal health”, J Prosthet Dent 1991;66:733-736  Donovan E Terry, Chee Winston, “cervical margin design with contemporary esthetic restorations”, Dent Clin N Am 48(2004) 417-431  Rosenstiel Edwin, “to bevel or not to bevel”, Br Dent J, 1975, 389-392  Rangarajan – textbook of prosthodontics  Deepak nallaswamy – textbook of prosthodontics
  • 64.  Periodontal considerations determining the design and location of margins in restorative dentistry. Shenoy et al. Journal of Interdisciplinary Dentistry / Jan-Apr 2012 / Vol-2 / Issue-1  The Effect of Porcelain Firing and Type of Finish Line on the Marginal Fit of Zirconia Copings. Vojdani M et al. J Dent Shiraz Univ Med Sci., June 2015; 16(2): 113-120.  Effect of finish line variants on marginal accuracy and fracture strength of ceramic optimized polymer/fiber-reinforced composite crowns. Cho et al, J Prosthet Dent 2004;91:554-60.  Tooth preparations for complete crowns: An art form based on scientific principles. Goodacre et al. J Prosthet Dent 2001;85:363- 76.  The influence of finish line curvature on the marginal gap width of ceramic copings. Asavapanumas et al. J Prosthet Dent 2013;109:226-233.