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TOOTH PREPARATION

FOR
COMPLETE METAL
CROWN AND BRIDGES
COMPLETE CAST METAL
RETAINERS

 Best longevity among all types of retainers in FPD


Indications

 Restoration for badly damaged posterior teeth.

 Restoration of choice when maximum retention and


resistance is needed.

 CPD retainers

 In Endodontically treated teeth.

 When Superior strength is required.


Contraindications

 When conservative retainer is indicated.

 High aesthetics is needed.


Advantages

 Greater retention.

 Greater resistance form.

 Greater strength.

 Allows the operator to modify axial tooth contour ( malaligned


teeth )

 Better access to furcation for improved patient oral hygiene


through recontouring of buccal and lingual walls.
Fluting
Cast partial retainers
 Restoration permits easy modification of occlusion ( supra
erupted teeth, altered occlusal plane )
Disadvantages

 Removal of tooth surface is extensive .


 Proximity to gingival margin can lead to
inflammation of gingiva.
 After cementation , no longer feasible to perform
electrical pulp test.
 Non esthetic .
Criteria
 So 1 mm reduction on non functional cusp
(eccentric cusp) and 1.5 mm reduction on
functional cusp (centric cusp) .
Axial reduction

 Axial reduction should be parallel to the long axis


but allow for recommended 6 degree taper.

 Margin should have a chamfer configuration


preferably supra gingival.

 Chamfer = 0.5 mm
Special considerations

 Functional cusp bevel


Functional cusp bevel is placed 45 degrees to the long axis of the tooth
Functional cusp bevel
Preparation
Sequence

 Guiding grooves for occlusal Preparation

 Occlusal Preparation

 Alignment groves for axial Preparation

 Axial Preparation

 Finishing .
Guiding grooves for occlusal
reduction
Axial preparation
Retention Form Depends On:

 Length of walls.
 Taper of walls.
 Circumference.
Length of Walls

MINIMUM LENGTH 3 MM.


Taper of Walls
6 DEGREES BETWEEN
OPPOSING WALLS
Ideal Taper
Circumference
Alignment Grooves
for
Axial Reduction
Interproximal Preparation :

 Extend below adjacent tooth contact


 Avoid
 Adjacent tooth damage
 Overtapering
 Excessive axial reduction
Clearance between the external surface of the
proximal chamfer and adjacent tooth.
Seating groove
Completed preparation