Beruflich Dokumente
Kultur Dokumente
STAINLESS STEEL
CROWNS
Advantages of Stainless
Steel Crowns
Longevity of Occlusally-Stressed
Restorations in Posterior Primary
Teeth
Hickel Article
Reviewed Literature 1971-July 2003
Clinical performance of restorative
materials in primary teeth.
Observed for a minimum of 2 years
Attitudes of General
Dentists
General Dental Practitioners Views
On the Use of Stainless Steel
Crowns to Restore Primary Molars
Threlfall AG et al: Br Dent J 2005 Oct
8; 199(7):453-5.
Threlfall Study
Disadvantage of SSC
Time Consuming
Difficult to Manipulate
Expensive
Ugly
SSC Indications
SSC Indications
SSC Indications
Indications: Permanent
Teeth
SSC Indications
Enamel Hypoplasia
Anatomical Differences
Primary
vs. Permanent
A.
B.
C.
D.
Enamel Thickness
Dentin Thickness
Pulpal Size
Gingival Bulge
BUCCAL CERVICAL
SWEETSPOT: THIS IS THE CRITICAL
AREA FOR RETENTION
SSC Technique
Ledges prevent
SSC from
telescoping over
the tooth
Reduce Occlusal 45
Degrees 1/8 A Diamond
Bur
1-1.5 mm Buccal
Counterbevel
Lingual Counterbevel
Mesial Prep
Complete/Distal Not
Complete
SSC Technique
Occlusal Reduction:
Adequate for Height of SSC
~1-1.5 mm
Confirm Occlsion
Placing Counterbevel
Counterbevels Complete
Slicing Proximals
Prep Complete