Log book for 3rd year

Fixed prosthodontics course 301

Student name:

Student ID:

Section:

Prepared by: Prof. dr. Omaima El Mahalawi

2022
 Fixed prosthodontics
Classification Of Crowns

According to MATERIAL
Non-
Metallic
metallic

Combination
Non-
Casted Ceramic Acrylic
casted

Full
Veneered
veneered
 According to RETENTION

Complete
Frictional
encircling the Post inserted in
retention & Cement retained
tooth (frictional root canal
auxillary means
retention)
 According to amount of prepared
surfaces

Full Partial
coverage coverage

By grooves:
-3/4 crown
-Reversse 3/4
crown
- 7/8 crown
1/2 crown By dowel pins:
Pin-ledge retainer Partial
enclasping
the prep.:
Macboyle
retainer

Combination
 BRIDGE

CLASSIFICATION OF BRIDGES

According to SITE

Anterior Posterior
Complex
(passing the canine)

Unilateral Bilateral
 Principles of Tooth Reduction
Successful completion of tooth reduction process requires certain principles to
be followed, which are;

1. Mechanical
2. Biological
3. Esthetical

MECHANICAL PRINCIPLES:

Types of occlusal forces:

Path of insertion force Rotational force Tipping force

The design of the prepared tooth should possess adequate:

 Path of insertion.
 Retention & Resistance form.
 Qualities that prevent deformations of the restoration.
 Outline form.
 Finish line.
 1. Path of Insertion:

Path of Insertion

Single restoration Bridge

Common Common
Line of Range of
line of range of
insetion insertion
insertion insertion

1. For a single restoration:

 Locked out Correct

Path of insertion Range of insertion

2- For a bridge:

Factors affecting path of insertion:

1. Reduction of axial surfaces.

2. Roundation of axial line angles.
3. Proximal grooves.
4. Ledges &/or Indentations
5. Pinhole
 2. Retention and Resistance form:

Retention: is the quality of preparation that prevents the removal of the restoration
along its path of insertion.

Resistance: is the quality of restoration that prevents the dislodgement of the

restoration by forces directed in oblique or horizontal directions.

Tipping Path: is the path along which the restoration could be displaced under the
displacing occlusal forces.

Factors preventing restoration displacement:

The preparation depends on the following retentive feature:

1. Frictional retention between opposing axial surfaces.

2. Retention gained by axial grooves.
3. Retention gained by pinholes.
4. Ledges and Indentations.
5. Retention gained by post inserted in prepared root
canal.
1. Frictional retention between opposing axial surfaces:
a) Axial wall HEIGHT.

b) TAPER of the preparation.

c) Ratio of preparation DIAMETER to axial walls.

d) Circumferential Irregularities.

e) Occlusal Irregularities:

f) Surface Area:

g) Adaptation.
 2. Retention Gained By Axial Grooves:
a) V-shaped groove.
b) U-shaped groove.
c) Box-shaped groove.

You should know: i) Length of groove

ii) Position of groove

iii) Depth of the groove.

3. Retention By Pinholes.

4. Ledges and Indentations.

5. Retained by post inserted in the prepared root canal:

FINISH LINES

Knife edge (Feather edge,

Chisel) finish line

Chamfer finish line appears

when using, tapered stone
with Round end.
 Deep Chamfer finish line

Shoulder finish line appears when using, tapered stone with FLAT end.

Shoulder with bevel finish

line

Shoulder finish line

 1- Complete Cast Metal Crown

Criteria Of Ideal Tooth Preparation

1. Occlusal reduction: Minimum recommended clearance is
1 mm on non centric cusp and 1.5 mm on centric cusps.
2. The occlusal reduction should follow the normal anatomic
contours.
3. Axial reduction should be parallel to the long axis of the
tooth with 6 degree convergence between opposing axial
surfaces.
4. The margin should be located supragingivally with a
chamfer configuration approximately 0.5 mm.
5. Functional (centric) Cusp bevel 1.5 mm of occlusal
clearance 45 degrees to the long axis.
 Evaluation chart
Evaluation grades:

A 90-100% 
B 80-90%  
C 70-80% 
D 60-70% 
F Below 60% 
I. Occlusal reduction:
1. Adequate occlusal reduction (clearance)

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:

2. Anatomical reduction

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:

II. Proximal surface preparation:

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:

III. Retention and resistance form:

1) Axial walls parallel or slightly converge (2-5o) to the long axis of tooth.
Evaluation grade: A B C D F Signature
Self-evaluation:
Instructor evaluation:
 2) Adequate occluso-gingival height:

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:

3) Anti-rotation features in preparation, rounded (line angles, flat axial surface):

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:

IV. Finish line thickness:

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:

V. Finish line position:

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:

VI. Preparation finishing: (smooth surface and finish line, rounded line and point
angles)

Evaluation grade: A B C D F Signature

Self-evaluation:
Instructor evaluation:
Evaluation points: (RUBRICS) :

4) Occlusal reduction:
o Sufficient clearance of 1 mm on non-functional cusp and 1.5 on
functional cup
o Maintain occlusal anatomy
o Functional bevel.

(Lack of clearance & over occlusal reduction will be considered failing

mistakes).
5) Proximal contacts: to pass the tip of straight probe freely.
(Lack of proximal contact opening will be considered a failing mistake).
6) buccolingually and cervico-occlusally
7) Resistance & retention form:
o Parallel axial walls or slightly converge 2-5o
o Adequate occluso-gingival height
o Anti-rotational features

(undercuts & over taper will be considered failing mistakes).

8) Finish line thickness: Thickness & continuity of finish line, (maximum

thickness 0.5 mm).

9) Finish line position: supragingival.

(absence of finish line will be considered as a failing mistake ).

10) Preparation finishing: (smooth surface and finish line, rounded line and
point angles)
(Finishing of preparation and smoothening of line & point angles).

N.B.
Fatal mistakes: ( -50%    )
1- Severe undercuts all-around the preparation
2- Over-reduction (over taper, over thickness of finish line)
 Evaluation Chart of Preparation for Full Metal crown Restoration:

Total
Steps: 1 2 3 4 5 6 Signature
score

Score: 2 2 3 1.5 1 0.5 10

Self-evaluation:
1
Instructor evaluation:

Self-evaluation:
2
Instructor evaluation:

Self-evaluation:
3
Instructor evaluation:

Self-evaluation:
4
Instructor evaluation:

Self-evaluation:
5
Instructor evaluation:

Self-evaluation:
6
Instructor evaluation:

Self-evaluation:
7
Instructor evaluation:

Self-evaluation:
8
Instructor evaluation:
 3-All Ceramic Restoration

Avoid
Evaluation Parameters for All-ceramic crown preparation

Evaluation points: (RUBRICS) :

Each preparation will be evaluated according to the following features:

1. Proximal contacts: to pass the tip of straight probe freely buccolingually and
cervico-occlusally .
a. Clear proximal contacts opening,
b. lack of proximal contact opening will be considered a failing mistake.
2. Incisal edge reduction: amount & its direction in relation to the tooth long axis,
a. Sufficient clearance
b. lack of reduction (under reduction ) & over Incisal shortening will be considered
failing mistakes .
3. Resistance & retention form
a. the opposing axial walls should be converge 10-15o .
b. preparation of labial surface following 2 reduced planes .
c. Adequate inciso-gingival height .
d. Anti-rotational features. Amount of palatal & lingual clearance, lack of
clearance will be considered as a failing mistake.
e. Preparation of cingulum as a definit wall, lack of identification of the cingulum
as a definit wall will be considered as a failing mistake.
f. ,undercuts & over taper will be considered failing mistakes

4. Finish line thickness & continuity:

a. maximum thickness 1,5 mm (shoulder F.L).
b. absence of finish line & lack ofcontinuity will be considered as a failing
mistake.
5. Finish line position: supragingival .
6. Preparation finishing: Finishing of preparation and smoothening of line & point
angles. (smooth surface and finish line, rounded line and point angles)

N.B.
Fatal mistakes: (-50%   )

1- Severe undercuts all-around the preparation

2- Over-reduction (overtaper, over thickness of finish line)

Evaluation Chart Of Preparation For

 All Ceramic Restoration

Steps: Total
1 2 3 4 5 6 Signature
score

Score: 6 6 10 3.5 3 1.5

Self-evaluation:
1
Instructor evaluation:

Self-evaluation:
2
Instructor evaluation:

Self-evaluation:
3
Instructor evaluation:

Self-evaluation:
4
Instructor evaluation:

Self-evaluation:
5
Instructor evaluation:

Self-evaluation:
6
Instructor evaluation:

Self-evaluation:
7
Instructor evaluation:

Self-evaluation:
8
Instructor evaluation:
Course director: Prof. dr. Omaima El Mahalawi