2010/12/15

Introduction to Fixed Prosthodontics

1. Delivery and Cementation of a Cast Restoration 2.
Crown and Bridge Appointments 3. Patient Instructions

t5131@seed.net.tw

:
Provisional placement of
permanent casting crown &
bridge appointment
()

Overview of the restoration in the cast()

Overview of the restoration in the cast
occlusal plane
occlusal plane
c.o. c.o.
lateral excursion lateral excursion
protrusive protrusive
margin fit margin fit

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Overview of the restoration in the cast

Overview of the restoration in the cast
occlusal plane
occlusal plane c.o.
c.o.
lateral excursion lateral excursion
protrusive protrusive
margin fit
margin fit

Overview of the restoration in the cast remove provisional restoration()

occlusal plane
c.o. hemostats

lateral excursion Backhaus towel clamp

protrusive

margin fit special band or bridge removers

Proximal (-)
Cleaning the luting agent on teeth()
explorer unwaxed floss to snap through (
water-pumice mixture in a ) relatively easily
prophylaxis cup
rinsed with water and air spray
thin marking tape to check (
even a very small particle will )
prevent a casting from seating excessive tightness ()

(rubber,cylindrical mounted stone.)

deficiency()
gold casting-gold solder
porcelain-add-on or correction
porcelain

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Proximal() Proximal
unwaxed floss to snap through ( relatively
) unwaxed floss to snapthrough
easily relatively easily
thin marking tape to check thin marking tape to check ()
excessive tightness excessive tightness
(rubber,cylindrical mounted stone.) (rubber,cylindrical mounted stone.)
deficiency deficiency
gold casting-gold solder gold casting-gold solder
porcelain-add-on or correction porcelain-add-on or correction
porcelain porcelain

Proximal (-)
unwaxed floss to snapthrough
relatively easily
thin marking tape to check
excessive tightness ()
(rubber,cylindrical mounted stone.)
deficiency
gold casting-gold solder
porcelain-add-on or correction
porcelain

Proximal (-)
unwaxed floss to snapthrough
Margin integrity()
relatively easily
elastomeric paste---Fit Checker
thin marking tape to check
excessive tightness water-soluble marking pastes---
(rubber,cylindrical mounted stone.) disclosing waxes
deficiency() The thickness of the cement
gold casting-gold solder film at the margins should be
porcelain-add-on or correction kept below 30 um.
porcelain

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Fit Checker
White silicone for disclosing unfit portion
Base : catalyst = 1 : 1 for length
Mixing time : 20 sec
Setting time : 90 sec
Film thin is about 30-120 um
Store at room temperature

Finishing
subgingiva margin-finished on die. Stability
supragingiva margin-finished in
It should not rock or
the mouth. rotate when a force
white stones-fine grit.
is applied.

Polish (low speed)

Occlusion
c.o.
metal-green stone.
lateral browny. greeny.
protrusive
porcelain-rubber wheel
glaze.

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Polish (low speed)

Polish (low speed) metal-green stone.
metal-green stone. browny. greeny.
browny. greeny. porcelain-rubber wheel
porcelain-rubber wheel glaze.
glaze.

Cementation
temporary cement:
temp-bond,optow

Temp-Bond
Base : Accelerator is 1 : 1
Mixing time : 30 sec
Working time : 2 minutes
Setting time : approximately 2 minutes in the
mouth
Store at normal room temperature
Eugenol & non-eugenol

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Zinc Zinc Glass

Property Phosphate Polycarboxylate Ionomer

Film thickness(m)* 25 < 25 < 25

Working time (min) 5 2.5 3.5
Compressive strength (MPa) 104 55 86
Elastic modulus (GPa) 13.2 n.t. 11.2
Pulp irritation moderate low high
Solubility high high low
Microleakage high high moderate
Removal of excess Easy Medium Medium
Retention moderate low moderate

Composite Adhesive
Property Resin Resin

Film thickness(m)* >25 >25

Elastic modulus (GPa) 17 4.5 ~ 9.8
Pulp irritation high high
Solubility very low very low
Microleakage high low
Removal of excess Medium Difficult
Retention moderate high

Patient Instructions
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3. 4.
1. 2.

(45) 20

5. 6.
7. 8.
1 C

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9. 10. 11. 12.

13. 14. 15. 16.

19.

17.

18.

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3-6
,
,

Summary
Modern Dental Assisting
DONIL. BIRD and DEBBIES. ROBINSON
Overview of the restoration in the cast SEVENTH EDITION
Fundamentals of Fixed Prosthodontics
Fit Checker Third edition
Herbert T. Shillingburg Jr, DDS
Temp-Bond Sumiya Hobo, DDS, MSD, PhD
Lowell D. Whitsett, DDS
Richard Jacobi,DDS
Susan E. Brackett, DDS,MS
Contemporary Fixed Prosthodontics
Third Edition
RosenetielLandFujimoto