Instructor Grading Form # 19 Porcelain Onlay

Student Name: ___________________ Student Number: ____ ____ ____

Section One Criteria

Ideal

Acceptable

Unacceptable

1) Occlusal Reduction
2 mm
1.5-2.5mm
Less Than 1.5 mm (Additional Reduction Required)
2.5 - 3 mm (Over Reduced)
> 3 mm (Pulpal Threat and Retention Loss)

4
4
4

2) Lingual Margin placement

3 mm occlusal to the free gingival margin
2-4 mm occlusal to the free gingival margin
Less Than 2.0mm or > 4 mm

43

3) Preparation on Long Axis of Tooth Cusp Tips Centered

Centered - Ideal
Minor Tilt or Lean (May Be Modified)
Un-repairable Lean or Significant Prepping or Build-up Required

432

4) Retention and Resistance

10-15 Degrees Taper with Adequate Wall Height
Minor Over-taper, Slight Shortening of Ling Wall
Minor Undercuts or < 6 of taper That Are Correctable
Gross Undercuts Uncorrectable or Requiring Significant Preparation
Gross Over-tapered (>20 Degrees), Casting Non-retentive Long-Term

4321
4321
4321

5) Axial Depth of Box Form(s)

1.0 mm Axial depth
0.8 mm-1.2mm of axial depth
Greater than 0.2 mm variation in axial depth
Greater than 0.5 mm variation in axial depth

MD

MD

MD
4321
4321

6) Buccal Angles of Exit and clearance (90 at cavosurface)

MD
90 at cavosurface, 1 mm of clearance
up to 100 at cavosurface, up to 0.25 mm deviation from ideal
< 90 or > 100 at cavosurface > 0.25 mm deviation from ideal
> 110, greater than 0.50 mm deviation from ideal

MD

7) Lingual Angles of Exit (90 at cavosurface)

MD
90 at cavosurface, 1 mm of clearance
up to 100 at cavosurface, up to 0.25 mm deviation from ideal
< 90 or > 100 at cavosurface > 0.25 mm deviation from ideal
> 110, greater than 0.50 mm deviation from ideal

MD

MD
4321
4321
MD
4321
4321

8) Morphology Overall morphology should be well rounded

Well rounded-no sharp areas
Minor discrepancy slightly sharp angles
Very Rough preparation, sharp angles, machine can not properly scan die

4321

9) Isthmus Depth (2.0 mm) and Width (2.0 mm)

Correct Depth and Width
0.5 mm variation from ideal
0.5-0.75 mm variation from ideal
> 0.75 mm variation from ideal
10) Gingival clearance
1.0 mm
0.5 1.5 mm gingival clearance
< 0.5 mm or > 1.5 mm gigival clearance

4321
4321

4321

11) Soft Tissue / Hard Tissue

Untouched
Minor Abrasions / Nicks (Polished to acceptable finish)
Significant Tissue Leading to contour changes and potential adjacent restoration

4321

Section Two: Handskills

Acceptable Unacceptable
1) Demonstration of handskills
(Circle one)

Notes: _______________________________________________________________________________

Section Three Occlusal Equilibration and Cleanliness

Acceptable
1) Occlusal Equilibration
2) Cleanliness

Unacceptable
= Minus 1 off criteria
= Minus 1 off hand skills

Notes: _______________________________________________________________________________

Grade
Grade: 19

Criteria

-1

(for equilibration)

Handskills