Full metal crown

preparation mistakes
MSA Fixed prosthodontics department

Student name: Abdelrahman Saad

ID: 192465
Buccal Fl of lower
first molar
Staff observations
1-uncontrolled(aggressive) reduction of FL

2_NO even Fl surface thickness

3_Fl should not exceed 0.5mm thickness

4_Function cusp bevel should be 45ْ degree

on Buccal surface which appears you couldn’t
achieve

5_convergance of buccal surface is not preserved

6_very poor finishing and polishing

Staff comments
Your preparation sequences in clinic
1_ Aggressive cutting during preparation will leed to exposing dentin or
even pulp results in complications to your patient not treatment. (more
sensitive teeth under a metallic crown, discoloration and cracks under
your crown )
2_Achieving equal and smooth surface of prepared crown means good
cementation with no gaps between prepared abutment and the crown
3-proper pass of insertion will not be achieved without smooth prepared
surface and rounded line an
4_0.5mm Fl thickness provides a well adaptation for the metallic crown
with no open margins
5_Fl should be of same line to avoid open margin defected crown
Staff comments
• 6_buccl functional cusp bevel should be of 45 degree for CROWN
Adaptation on the abutment and prevents tooth crack under
masticational forces
• 7_convergance of buccal surface is a must preserved while
occlusogingival convexity is eliminated to remove divergence along
with the undercut area below the height of contour.
• 8_ All line angles between the four axial surfaces should be rounded to
remove cervical triangular undercuts.
• 9_Finish line should be continuous and distinct around the whole
circumference of the preparation.
Staff advices
• 1_ train on handling contra always think that your role as a
dentist is to preserve the tooth structure as much as
possible following the most conservative approach on your
clinic
• 2_ eyes, brain and hand with training will achieve
neuromuscular coordination trough out time
• 3_in clinic you will face a lot of variation of enamel a
dentin thickness depends on the age of the patient race and
nutrition, so you have to follow a conservative preparation
approach to avoid complications after your dental
procedure
Staff advices
• 4_ Always follow the guideline for you type of
preparation
5_ Stay parallel when reducing buccal, lingual and
proximal and let the taper of the stone do the work
as it will spontaneously achieve the convergence
you need
• 6_Use sandpaper discs for finishing and polishing
your preparation
Occlusal surface
preparation
Staff observations (on lower
second premolar)
• 1_Anatomical landmarks has not preserved
• 2_functional cusp reduced more than
needed
• 3_ flat occlusal surface
• 4_deed and shallow central groove
• 5_poor finishing and surface irregularities
Staff comments
• 1_your prepared occlusal surface is flat which will provide
poor retention for the crown
• 2_ functional cusp reduced more than 1.5mm which
reflects that you didn’t use an index, or you were
aggressive during preparation
• 3_deep central groove shows that you need to train to
achieve the right angle of contra during work
• 4_ surface irregularities means your way of cutting is
wrong and you go up and down with contra on the same
plane
Staff comments
• 5_a good finish is a must
• 6_too much reduction may expose the pulp as the
pulp horns downward the cusps of molars
• 7_the central groove says that you were making a
cavity not a reduction -__-
Staff advices
• 1_always use index to make sure of your
measurements
• 2_cutting should be gentile and on planes
• 3-use carbide fissure bur to make groove depth
which will be of much help on your occlusal
reduction, Depth grooves are placed to quantify
reduction and ensure even thickness
• 4_wheel diamond stone may help you in achieving
a good occlusal reduction
Staff advices
• 5_you should pay a great attention to occlusal
reduction which will ease other surfaces reduction
• 6_ Use sandpaper discs for finishing and polishing
your preparation
• 7_take cusps on planes
Occlusal
surface
reduction
Staff observation on lower 6
• Although you used depth grooves you still aggressive in cutting
Lingual
surface
reduction
Staff observations
• 1_finish line is too thin for a metallic restoration
• 2_irricularities on the Fl
• 3_surfice irregularities
• 4_occlusogingival convexity is not eliminated
Staff comments
• 1_occlusogingival convexity must be eliminated
• 2_Fl should be of same thickness at ant point of
the surface
• 3_finishing is a must for surface retention with the
crown
• 4_0.5 chamfer finish line should be achieved for
FMC
Staff advices
• Lingual surface should be cutted on one plane
• Stay parallel during FL preparation
• We neve take an impression for unfinished and
polished teeth as the
• Train more
Proximal surface
reduction
Staff observations
• 1_no even thickness of Fl
• 2_cervical undercuts
• 3_sharp areas existed
• 4_no roundation of line and point angles
• 5_no finishing
Staff comments
• 1_Finish line should be continuous and
distinct around the whole circumference of
the preparation.
Although these comments which for a while may appears sharp and stinging
sometimes especially when you have different opinions on the same preparation
but we all thankful for your support, patience and decency while providing us these
comments.

sorry for bad pics resolution