Sim Lab Exercise PFM 26

Week 1

Some quick tips from last weeks session on how to avoid

the following

Dr Megan Gray

PROBLEM 1
Incorrect angulation resulting in undercuts and/or over-reduction

Bur not positioned down long axis of

tooth

Dr Megan Gray

Resulting undercut on buccal surface

PROBLEM 2
Overtaper
interproximally

Some ways to avoid this:

Incorrect reduction interproximally resulting in
loss of retention for final crown and significant
reduction on healthy tooth structure.
Also incorrect palatal margin

Choose correct (small width) bur

Check angulation of bur from different
perspectives before and during
reduction
Leave final definition of gingival margin
Dr Megan Grayuntil after occlusal reduction

PROBLEM 3
Development of undercut from angulation of bur
interproximally
Small undercut inadvertently created by
horizontal angulation of bur close to margin.
Be very careful if holding the bur horizontally in
this area of the tooth as this is very easy to do

Dr Megan Gray

PROBLEM 4

Excessive occlusal
reduction

Some ways to avoid this:

Image showing excessive reduction of
cusps (non functional)

Minimal depth cuts (if at all)

Remember ideal reduction amounts

Minimal overall reduction with some allowance for

final adjustment (if required) at polishing stage
Dr Megan Gray

Correct angulation of burs

Excessive occlusal reduction (occlusal

view)

> 2mm

1.5 mm

Continually check reduction of prep from all angles

The adjacent tooth marginal ridge gives a good
indication of amount of reduction use your mirror
to see this intraorally

Dr Megan Gray

PROBLEM 5
Excessive chamfer width resulting in hat shaped prep.
same size margin right around tooth

There should be a distinct difference

in margin size from buccal to palatal
Please keep the chamfer minimal
remember it is only a thin metal
margin required here

Dr Megan Gray

 Just a few considerations to improve the session outcome

Dr Megan Gray