external surface form, interim restoration Flashcards

1
Q

what tray do you use to make an external surface form

A

Quadrant tray

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2
Q

What is used to create an external surface form

A

A vacuum-formed Matrix

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3
Q

How should the vacuum formed matrix be trimmed

A

4-5mm from the gingival margin

Mesial of 6 to mid of 1

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4
Q

Biologic requirements of interim restorations

A
Protect pulp
Maintian periodontal health
Occlusal compatibility
Maintain tooth position
Protect against fracture
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5
Q

Mech requirement of interim restoratiosn

A

Resists functional loads
Resist removal forces
Maintain interabutment alignment

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6
Q

Esthetic requirement of interim restorations

A

Easy to contour
Color compatibility
Color stability
Translucency

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7
Q

3 requirements for interim restorations

A

Easthetic
MEchanical
Biologic

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8
Q

What are the dental tubules after a crown prep

A

Open to the pulp so now sensitive

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9
Q

how to isolate the dentin from the oral environment

A

Use a provisional

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10
Q

What must be done to ensure that provisionals protect periodontal health

A

Magins must be done well

Correct contour

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11
Q

what happens to perio if too much contour

A

Inflammation and irritation

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12
Q

why does the provisional need to be in correct occlusion

A

Keep opposing tooth from supper erruption

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13
Q

How removable should a provisional be

A

Needs to be centered with a good fit

But also needs to be adjusted without fracture

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14
Q

what is the external surface form

A

The mold

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15
Q

What is the tissue surface form

A

The preped tooth

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16
Q

Types of external surface forms

A

Custom

PReformed

17
Q

How is a custom external form made

A

use a polypropylane shell from a suck down on an impression

18
Q

What are the types of preformed external surface forms

A

Resin: polycarb, Cellulose acetate
Metal: aluminum (plain), aluminum (anatomic), tin-silver, Nickel-chromium

19
Q

Pros and cons of using a suckdown

A

Thin so good reproduction

Can also break

20
Q

Pros and cons of putty for external form

A

Flexible

But can’t see how acrylic is forming

21
Q

Why use wax for external form

A

If you’re cheap

22
Q

How to chose a preformed polycarbonate provisional

A

measure space
Select crown
Try on patient
adapt

23
Q

what is the finish margin for an aluminum preformed crown

A

Resin is the finish, not the metal

24
Q

MEthods of Fabrication of Provisional restorations

A

Indirect
Direct
Indirect-Direct

25
Advantages of Direct provisional restorations
pateints preped teeth and gingival tissues directly provide the TSF no intermediate steps of the indirect technique
26
when are direct provisional restorations convenient
When office laboratory facilties are inadequate for efficiently producing an indirect restoration
27
Disadvantage of Direct provisional
Potential tissue trauma from the polymerizing resin and inherently poorer marginal fit
28
Ideal properties of interim fixed restorations
Convenient handling: adequate owrking time, easy molding, rapid setting Biocompatibility (non-toxic, non allergic) Dimensional stability during solidification Ease of contouring and polishing Adequate strength and abrasion resistance Good appearance Good acceptability to patient: nonirritating, odorless Ease of adding to or repairing Chemical compatibility with interim luting agents
29
What must be done if External surface form is hard to remove
Might need to block out undercuts
30
Why pump the ESF 2mm
While it is setting at a rubber stage to preventing lockin in and overheating the teeth
31
Sequence of Polishing
``` Acytlic bur Moore disks Burlow wheels on the margins and axial Diamond on the occlusal Rubber points on occlusal if needed ```
32
Criteria for an interim restoration
``` Proximal contacts Occclusion Margins Axial Contours Finish ```