3-4 Crown Grade Sheet

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Student Grading Form # 3 Crown

Student Name: ___________________ Student Number: ____ ____ ____


Section One Criteria

Ideal

Acceptable

Unacceptable

1) Occlusal Reduction
1 mm(L)-1.0 mm (B)
1.25-2.0 mm (L)-within 0.5 mm of ideal (B)
Less Than 1.25 mm (L)-(B) unprepared areas of buccal cusps(Additional Reduction Required)
2 - 3 mm(L), > than 1mm B cusp tip reduction, > 1.5 mm along triangular ridge
> 3 mm (Pulpal Threat and Retention Loss)

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2) 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

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3) Retention and Resistance


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

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4) Retention-Resistance Boxes (Axial Depth from original contour) (Lingual exit) M D


MD
Proper Location (90 lingual exit) and Depth (1.5mm)
Minor Deviation in Proper Depth/Location (within 0.3 mm), (90-100)
Large, Deep, Incorrect Location, Undercut, Ling. Ang. of Exit Sacrifice Resist.
Signifcant Design Flaw, Location Issue

MD
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5) Functional Bevel Placement


Correct Angulation and Reduction
Slight Under-Reduction and/or Angulation Change (Steep Flat)
Slight Over-Reduction and/or Angulation Change (Steep Flat)
Significant Over-Reduction and/or Angulation Change

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6) Non-Functional Bevel Placement (Buccal Cusps)


Correct Angulation and Reduction (0.5mm)
Slight Under/OverReduction within (0.3mm) and/or Angulation Change

(Steep Flat)

Sig Over-Reduction(>0.5mm) and/or Angulation Change (Steep Flat)


Significant under-Reduction and/or Angulation Change(unprepared tooth strctr)
7) Buccal Angles of Exit (from box forms)
MD
MD
135 with .75 mm clearance
> 90 but <150 within 0.25 mm of ideal clearance
< 90 or > 150, <0.5 mm of clearance or > 1.0 mm of clearance
Greater than 1.5 mm of clearance, must be converted to PFM for aesthetics

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MD
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8) Isthmus depth and width


2.5 mm (D) and 2.0 mm (W)
2.0-2.75 (D) and 1.50-2.5 (W)
1.5-2.0 mm or 2.75-3.0mm (D)and 1.5-1.25mm or 2.75mm-3.0mm (W)
<1.5 mm or >3mm (D)and <1.0 mm or >3.0mm (W)

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9) Adjacent Teeth
Undamaged
Minor Dings - Polished or Buffed to Acceptable Finish
Significant Nicks or Finishing Leading to Gross Contour Changes/Restorations Rq.

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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: _______________________________________________________________________________

Section Three Typodont


Grade:

Criteria

-1

(for equilibration)

Handskills
-1

(cleanliness)

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