Instructions shown in the following sequence are completed using the rotary instrument in the Captek/Brasseler Crown and

Bridge kit.

Purchase of this kit is not required yet may be helpful. Call your laboratory, Captek or Brasseler representative for additional questions

One of the many benefits of Captek crowns and bridges is the versatility that the dentist has when choosing a preparation style that is comfortable for him/her and appropriate for the tooth being treated and the desired esthetic outcome of the case. The following sequence shows a variety of margin designs along with the possible Captek copings that can be fabricated on each design. A deep Chamfer(Shoulder), Modified chamfer, and a Shoulder-Bevel will be shown.

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Captek can be cemented with the doctors cement of choice. Proper development of resistance and retention form is still important to follow. Excellent research on resistance and retention form is available upon request through your dental laboratory or Captek.

Modified Chamfer

Chamfer/Shoulder

A basic Chamfer is a standard margin edge design that can be utilized for Captek crowns where the metal can be brought to the edge or, if the exit angle of the margin is cut to a 90 degree angle, a porcelain margin can be prescribed.

After breaking contact and facial depth cuts with 169L, The 5856 016 Super course is used for gross reduction. Initial reduction is ended at or above tissue height. The depth cuts can also be accomplished with the 5856 016 blk.

2. Final Finishing of
Chamfer/Shoulder is accomplished by placing a cord and prepping to the cord with 856 016 med.

1. Captek Crown with or

without a Porcelain margin could be placed right at the tissue or .5 to 1 mm below predictable tissue postpreparation height.

With any margin design, proper consideration should be given to biological width, tissue type, esthetic desires, retentive form and occlusal considerations.

Gross reduction with the 5856 016 Super Course. The final margin design can be accomplished with the 878K 016 med. Shown below.

Modified Chamfer Margin:

A thin cord is placed. Margin is then finalized and refined with the 878K 016 med.

With a Modified Chamfer margin, the Captek metal should extend to the edge and be covered with porcelain or left as an exposed Captek collar. Margin placement should be .5 to 1mm subgingival when collar needs to be invisible to patient.

With any margin design, reduction for anterior teeth is necessary on three planes on the labial surface. Proper facial reduction will result in attaining the full esthetic potential of Captek crowns and bridges.

Beveled shoulder prep

Gross reduction is done and shoulder is placed to the tissue height with 5856 016 SC.

Cord is placed and bevel is place sub gingival using 30006 60 016 med. Beveled margin is ideal when using a small Captek exposed collar. Not ideal when extending porcelain to the margin edge.

Due to the healthy tissue condition surrounding Captek restorations, practitioners are less hesitant to place small metal bands on Captek crowns even in the anterior. Bands or collars need to be place appropriately in the sulcus so as to be invisible to patient.

All acceptable margin designs with Captek Modified Chamfer Shoulder Beveled edge

Knife edge, not shown, is also an acceptable margin design for Captek restorations. Consult with your Captek Lab for further information and opinions.

Captek coping possibilities with each margin design

Shoulder Modified Chamfer

Porcelain Margin or metal to edge is possible

Captek metal to edge

Beveled edge

Metal collar necessary

Metal to the edge with a metal band or covered with porcelain is possible with Knife edge.

Case Review With Dr. John Cranham

Post operative picture. Treatment plan required placement of full coverage restorations from tooth numbers 5-13 and 21-28

Captek crowns were chosen as restoration of choice

Occlusion should be evaluated prior to preparation. 1.5mm minimum of occlusal clearance is necessary for all PFM restorations with full porcelain coverage including Captek. Rotation of teeth to be prepared should be noted. Rotated or tilted teeth must be prepared accordingly if alignment change is desired.

Proximal slices with the 169L carbide are accomplished quickly and safely. The 169L will help eliminate over tapering of the final preparation

Incisal reduction of 2mm is necessary. The 330mw carbide could be used as a depth cutting guide. The cutting length of the 330mw is 2.2mm.

The 5856 016 blk (super course) can be used for depth cuts

5856 016 blk dimensions: 1.6 mm 1.25mm

1.5mm buccal reduction in the facial incisal tapering to .8 mm reduction at the gingival can provide predictable results with Captek crown and/bridges. Consult your certified Captek lab for their input and opinion.

Anterior reduction usually is necessary in 3 distinct planes.

Depth cuts complete

Depth cuts (discussion)

In the posterior preparation sequence, Dr. Cranham showed depth cuts with the 169L. The 169L is .9mm wide. Taken to full depth, this guide, when gross reduction is completed, should produce minimum reduction of 1mm buccally and lingually. This is a very conservative preparation depth and may be helpful in situations where minimal reduction is the only option.

Gross reduction is finished with the 5856 blk. Smoothing is accomplished with medium grit rotary instruments.

Lingual margin reduction can be accomplished with a variety of rotary instrument shapes. Medium or fine course diamonds are necessary to achieve proper smoothness. Lingual reduction of 1.5mm is important for proper material thickness and for the technician to develop proper functionality to the desired restoration. It is also required for maximum restoration strength.

With any margin design, proper consideration should be given to biological width, tissue type, esthetic desires, retentive form and occlusion.

Retraction can be done with the restoring doctors method of choice. Effective retraction will help define margin placement, and impression accuracy.

Preparation finished

occlusal registrations completed.

Before Temporization

Before

1 week post cementation

Before

After

3 weeks post placement

Captek is an every day choice for Esthetic, Versatile, Strong, plaque resistant crowns and bridges.

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