Full Casting Crown Restorations

12/19/22
Recommended Reading
Prosthodontics-I Theoretical
Full Casting Crown Restorations Contemporary fixed prosthodontics
Rosenstiel et al
Dr. İzim Türker, DDS,PhD Ch 8 - The Complete Cast

Assistant Professor Crown Preparation
Bahçeşehir University
School of Dental Medicine
Department of Prosthodontics
izim.turker@vsh.bau.edu.tr
Fundamentals of fixed prosthodontics.
Herbert T. Shillingburg
Ch 10 - Preparations for
Full Coverage Crowns
Full Casting Crown Restorations 19.12.2022 DENT2001 Prosthodontics © Dr. İzim Türker, DDS,PhD Full Casting Crown Restorations 19.12.2022 DENT2001 Prosthodontics © Dr. İzim Türker, DDS,PhD
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Learning Outcomes INTRODUCTION
At the end of this lecture students will be able to: FULL CROWN RESTORATIONS
1. Learn the classification of full crown restorations.
2. Explain the place of full cast crowns among all other fixed restorations.
ALL METAL
3. Interpret the complete cast crown materials. ALL CERAMIC
(FULL COVARAGE)
4. Compare the advantages and disadvantages of full cast crowns.
5. Understand the rationale and principles of use of full crown restorations.
6. Explain the preparation principles and steps of full cast crowns.
Gold Alloys Other Alloys Oxide Ceramics Glass Ceramics
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Complete (Full) Cast Crowns Complete (Full) Cast Crowns

Although esthetic factors can limit its application, the all-metal complete cast
crown should always be considered for patients requiring restorations for badly
damaged posterior teeth. Longevity of complete cast crowns is superior to that
of all other fixed restorations.
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ADVANTAGES ADVANTAGES
Greater retention and resistance than a Strength is superior to that of other

more conservative restoration restoration.
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ADVANTAGES ADVANTAGES
Permits easy modification of the

Protects the coronal integrity of a natural
occlusion
tooth compromised by restorations
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DISADVANTAGES INDICATIONS
• On teeth that exhibit extensive coronal
• removal of tooth structure is
destruction
extensive
• On non-esthetic zone teeth with extensive
• adverse effects on the pulp and restorations
periodontium. • Short clinical crowns
• inflammation of gingival tissues is • Retainer for a long span fixed partial denture
not uncommon • On endodontically treated teeth
• display of metal • In cases of generalized attrition where
vertical dimension is reduced.
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CONTRAINDICATIONS CRITERIA
• The complete cast crown is contraindicated The occlusal reduction must allow adequate room for the restorative material from
which the cast crown is to be fabricated.
if treatment objectives can be met with a
more conservative restoration. Therefore, the material that is selected to fabricate the restoration has a direct
effect on the minimal amount of tooth structure that must be removed. Typically,
• A complete crown is not indicated if a high-

type III or IV gold casting alloy or its low–gold content equivalent is used for
complete cast crown fabrication.
esthetic need exists (e.g., anterior teeth)
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CRITERIA ARMAMENTARIUM
The occlusal clearance is required. The difference between occlusal clearance and
reduction should be noted: Clearance is the amount of space between the
completed preparation and the opposing tooth; reduction is the amount of tooth
structure that is removed to establish the desired clearance.
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PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION
Recommended minimal dimensions for a

complete cast crown. The chamfer margin should allow for
On functional cusps (buccal approximately 0.5 mm of metal thickness at the
mandibular and lingual maxillary), margin. Note that the buccal wall of the
occlusal clearance should be 1.5 mm maxillary molar is prepared in two planes.
or greater. On nonfunctional cusps,
the clearance should be at least 1 mm.
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CRITERIA PROCEDURE OF TOOTH PREPARATION

STEPS
The occlusal reduction should generally follow • Occlusal depth grooves

• Occlusal reduction and
normal anatomic contours to be as
functional cusp bevel
conservative of tooth structure as possible.
• Axial alignment grooves
• Axial reduction
Axial reduction should parallel the long axis of • Finishing and evaluation
the tooth but allow for the recommended 6-
degree taper or total included convergence,
which is the angle measured between
opposing axial surfaces.
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STEP 1 STEP 2
• Occlusal depth grooves • Occlusal reduction and functional cusp bevel
Complete the occlusal reduction in two stages. Half the occlusal

Guiding Grooves for Occlusal Reduction surface is reduced first so that the other half can be
Once the desired reduction depth has been determined, a tapered tungsten maintained as a reference. When the necessary reduction of
carbide or a narrow tapered or small round-ended diamond is recommended
the first half has been accomplished, reduction of the remaining
for placing the depth grooves for occlusal reduction. Depth grooves are helpful in
half can be completed. On completion, verify that a minimum
guiding occlusal reduction only if the tooth is in good occlusal relationship before
clearance of 1.5 mm has been established on functional
preparation.
cusps and one of at least 1.0 mm on nonfunctional cusps in
the occluded position. These clearances must also be verified
in all excursive movements that the patient can make.
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STEP 4
STEP 3
• Axial alignment grooves
• Axial reduction
Once the occlusal reduction has been

completed, alignment grooves are
placed in each buccal and lingual wall
with a narrow, round-ended, tapered
diamond. On molars, one alignment
groove may be placed in the center of the The technique for axial reduction is similar to that for occlusal reduction. The residual islands of tooth structure
wall, and one in each mesial and distal between the alignment grooves are removed; concurrently, the chamfer margin is created, and the same narrow,
transitional line angle round-ended diamond is used for the procedure. Like the occlusal reduction, the axial reduction may be performed for
half the tooth at a time, while the other half is maintained as a reference to simplify assessing the adequacy of the
reduction.
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STEP 4
STEP 4
• Finishing and evaluation
• Axial reduction Place the cervical chamfer
margin concurrently with
axial reduction. Finished
chamfer margin width should
be approximately 0.5 mm,
which allows for adequate
bulk of metal at the margin.
The chamfer margin must be
smooth and continuous
mesiodistally.
Use a fine-grit diamond or tungsten carbide rotary instrument of slightly greater
diameter to finish the chamfer margin. This should be done as smoothly as
possible, with a high-speed handpiece operating at reduced speed
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STEP 4
• Finishing and evaluation
Place additional retentive features as needed

(e.g.,grooves or boxes) with the tapered tungsten
carbide bur and the slow-speed handpiece.
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Evaluation of the adequacy of occlusal clearance. A,

The patient closes the teeth into softened wax. B, After
the wax has been removed from the mouth, its
thickness is assessed visually and measured with a
wax caliper.
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Occlusal clearance can be judged intraorally with a reduction gauge. This

instrument (A) has two spherical tips: one that is 1.5 mm in diameter (B) and
one that is 1.0 mm in diameter (C)
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The adequate clearance (≥0.6 mm)

exists between the external surface
A “lip” of enamel (arrow) protects the of the proximal chamfer margin
adjacent tooth from iatrogenic damage as and the adjacent tooth.
the axial reduction is completed.
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PROCEDURE OF TOOTH PREPARATION

PROCEDURE OF TOOTH PREPARATION
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SUMMARY See you in next lecture…
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12/19/22

Dr. İzim Türker, DDS,PhD Ch 8 - The Complete Cast

Learning Outcomes INTRODUCTION

Complete (Full) Cast Crowns Complete (Full) Cast Crowns

Greater retention and resistance than a Strength is superior to that of other

Permits easy modification of the

• A complete crown is not indicated if a high-

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

Recommended minimal dimensions for a

CRITERIA PROCEDURE OF TOOTH PREPARATION

The occlusal reduction should generally follow • Occlusal depth grooves

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

Complete the occlusal reduction in two stages. Half the occlusal

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

Once the occlusal reduction has been

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

Place additional retentive features as needed

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

Evaluation of the adequacy of occlusal clearance. A,

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

Occlusal clearance can be judged intraorally with a reduction gauge. This

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

PROCEDURE OF TOOTH PREPARATION PROCEDURE OF TOOTH PREPARATION

The adequate clearance (≥0.6 mm)

PROCEDURE OF TOOTH PREPARATION

SUMMARY See you in next lecture…

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