Podcast
Questions and Answers
Which of the following is a synonym for a full metal crown?
Which of the following is a synonym for a full metal crown?
What is a primary advantage of using a full metal crown compared to other crown types?
What is a primary advantage of using a full metal crown compared to other crown types?
A patient has a tooth with extensive decay. Which type of restoration is most suitable to fully protect the remaining tooth structure from fracture?
A patient has a tooth with extensive decay. Which type of restoration is most suitable to fully protect the remaining tooth structure from fracture?
Which of the following is considered a disadvantage of using a full metal crown?
Which of the following is considered a disadvantage of using a full metal crown?
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A full metal crown is indicated in which situation?
A full metal crown is indicated in which situation?
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What is the minimum percentage of noble elements required for a crown to be classified as a noble metal crown?
What is the minimum percentage of noble elements required for a crown to be classified as a noble metal crown?
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Which of these characteristics is NOT one of the primary reasons for using a dental crown?
Which of these characteristics is NOT one of the primary reasons for using a dental crown?
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The use of a full metal crown will typically result in which of the following?
The use of a full metal crown will typically result in which of the following?
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When is a full metal crown indicated for a tooth?
When is a full metal crown indicated for a tooth?
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What is a contraindication for using a full metal crown?
What is a contraindication for using a full metal crown?
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Which of the following is NOT a step in tooth preparation for a complete cast crown?
Which of the following is NOT a step in tooth preparation for a complete cast crown?
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Which of the following burs is NOT listed in the armamentarium for tooth preparation?
Which of the following burs is NOT listed in the armamentarium for tooth preparation?
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During tooth preparation for a full metal crown, what is the recommended taper for axial reduction?
During tooth preparation for a full metal crown, what is the recommended taper for axial reduction?
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What is the location of the preparation margin for a full metal crown?
What is the location of the preparation margin for a full metal crown?
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Which of the following describes the functional cusps?
Which of the following describes the functional cusps?
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What is the purpose of placing a functional cusp bevel during occlusal reduction?
What is the purpose of placing a functional cusp bevel during occlusal reduction?
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When creating guiding grooves for occlusal reduction, where should a groove be placed?
When creating guiding grooves for occlusal reduction, where should a groove be placed?
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What is the recommended depth of the orientation grooves on a nonfunctional cusp during occlusal reduction?
What is the recommended depth of the orientation grooves on a nonfunctional cusp during occlusal reduction?
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Which instrument is best suited for initially creating the depth orientation grooves during occlusal reduction?
Which instrument is best suited for initially creating the depth orientation grooves during occlusal reduction?
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After using the diamond bur and making the initial reductions. Which instrument is used to precisely judge the depth of the grooves?
After using the diamond bur and making the initial reductions. Which instrument is used to precisely judge the depth of the grooves?
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When placing guiding grooves during axial reduction, to what should the shank of the diamond bur be parallel?
When placing guiding grooves during axial reduction, to what should the shank of the diamond bur be parallel?
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How is tooth structure removed between the created grooves during occlusal reduction?
How is tooth structure removed between the created grooves during occlusal reduction?
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What type of diamond bur is recommended for facial and lingual axial reduction?
What type of diamond bur is recommended for facial and lingual axial reduction?
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Where is the chamfer finish line created when reducing the buccal surface with a torpedo diamond?
Where is the chamfer finish line created when reducing the buccal surface with a torpedo diamond?
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What type of bur is primarily used for planar occlusal reduction?
What type of bur is primarily used for planar occlusal reduction?
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What is used to check the occlusal clearance after the occlusal and functional cusp preparation?
What is used to check the occlusal clearance after the occlusal and functional cusp preparation?
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During facial axial reduction, how far should the reduction extend interproximally?
During facial axial reduction, how far should the reduction extend interproximally?
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When is an 'RGS 3' instrument used during the tooth preparation process?
When is an 'RGS 3' instrument used during the tooth preparation process?
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What does an occlusal view of the tooth preparation reveal at this stage of axial reduction?
What does an occlusal view of the tooth preparation reveal at this stage of axial reduction?
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What type of diamond bur is used for proximal reduction?
What type of diamond bur is used for proximal reduction?
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How is the thin needle diamond used when performing proximal reduction?
How is the thin needle diamond used when performing proximal reduction?
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What type of bur is typically used to increase the depth of reduction and create a finish line?
What type of bur is typically used to increase the depth of reduction and create a finish line?
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Where is the seating groove typically placed in relation to the chamfer?
Where is the seating groove typically placed in relation to the chamfer?
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In full veneer crown preparation, after the breaking of proximal contact, what is the next key step?
In full veneer crown preparation, after the breaking of proximal contact, what is the next key step?
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Which of the following is a critical area to consider during crown preparation?
Which of the following is a critical area to consider during crown preparation?
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What is the purpose of using a torpedo bur in crown preparation?
What is the purpose of using a torpedo bur in crown preparation?
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What is the initial step in preparing the occlusal surface?
What is the initial step in preparing the occlusal surface?
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What role do alignment grooves play in axial reduction?
What role do alignment grooves play in axial reduction?
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What is the final step in the preparation of a full veneer crown?
What is the final step in the preparation of a full veneer crown?
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Flashcards
Full Metal Crown
Full Metal Crown
A type of dental crown that completely covers the tooth's visible portion, made entirely of metal. It's known for its durability and strength.
All Metal Crown
All Metal Crown
A dental crown made entirely of metal, offering high strength and durability. It's often used for restoring teeth with extensive damage or when strength is paramount.
Why do we use Full Metal Crowns?
Why do we use Full Metal Crowns?
Full metal crowns are designed to protect a tooth from breaking or to hold the cracked parts of the teeth together. They can also be used to cover misshaped or discolored teeth, restore broken teeth, support teeth with large fillings, cover teeth treated with root canals, and cover dental implants.
Types of Metal Crowns
Types of Metal Crowns
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What are the advantages of Full Metal Crowns?
What are the advantages of Full Metal Crowns?
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What are the disadvantages of Full Metal Crowns?
What are the disadvantages of Full Metal Crowns?
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What are the indications for using Full Metal Crowns?
What are the indications for using Full Metal Crowns?
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Base Metal Crown
Base Metal Crown
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Full Metal Crown Indications
Full Metal Crown Indications
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Additional Full Metal Crown Indications
Additional Full Metal Crown Indications
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Full Metal Crown Contraindications
Full Metal Crown Contraindications
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Tooth Preparation: Occlusal Reduction
Tooth Preparation: Occlusal Reduction
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Tooth Preparation: Buccal Reduction
Tooth Preparation: Buccal Reduction
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Tooth Preparation: Lingual Reduction
Tooth Preparation: Lingual Reduction
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Tooth Preparation: Proximal Reduction
Tooth Preparation: Proximal Reduction
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Occlusal Reduction: Details
Occlusal Reduction: Details
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Occlusal Reduction
Occlusal Reduction
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Guiding Grooves
Guiding Grooves
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Depth Orientation Grooves
Depth Orientation Grooves
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Depth of Grooves
Depth of Grooves
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Enamel Chisel
Enamel Chisel
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Inclined Removal of Tooth Structure
Inclined Removal of Tooth Structure
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Round Tapered Diamond & No. 17 Bur
Round Tapered Diamond & No. 17 Bur
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Round Tapered Diamond for Functional Cusp Bevel
Round Tapered Diamond for Functional Cusp Bevel
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Axial Reduction
Axial Reduction
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Torpedo Diamond
Torpedo Diamond
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Chamfer Finish Line
Chamfer Finish Line
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Proximal Reduction
Proximal Reduction
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Short Thin Needle Diamond
Short Thin Needle Diamond
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Gaining Access
Gaining Access
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Occlusal Preparation
Occlusal Preparation
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Critical area of preparation
Critical area of preparation
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Chamfer finishing
Chamfer finishing
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Seating groove
Seating groove
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Full veneer crown
Full veneer crown
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Occlusal guiding grooves
Occlusal guiding grooves
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Alignment grooves
Alignment grooves
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Study Notes
Extra-Coronal Full Coverage Tooth
- Various types of crowns exist: full metal, all-ceramic, metal-ceramic, and zirconia.
- Crowns are used to protect weakened teeth, address misshapen or discolored teeth, and repair broken teeth.
- Crowns are also used to cover teeth that have undergone root canal treatment or support large fillings.
- Crowns can be used to cover dental implants.
Types of Crowns
- Full metal crowns: metallic restorations for the coronal, contour, and anatomical part of the tooth.
- Full metal crowns are a part of many cultures' traditions.
- All-ceramic and all-porcelain crowns
- Porcelain fused to metal.
- Zirconia crowns.
Need for the Crowns
- Prevent tooth breakage or hold together fractured teeth.
- Address misshapen or discolored teeth.
- Repair or reattach broken teeth.
- Provide coverage over a large filling or a root canal.
- Cover dental implants.
Synonyms
- Full cast crown
- Complete cast crown
- All metal crown
- Full veneer crown
Types of Metal Crowns
- High noble metal crown: 60% noble elements, 40% gold.
- Noble metal crown: at least 25% noble elements.
- Base metal crown: less than 25% noble elements.
Advantages of Metal Crowns
- Exceptional strength compared to other types of crowns.
- Consist of high-quality materials.
- Often last longer, resisting chipping and breakage.
- Have good retention.
- Used for restoring hidden teeth.
Disadvantages of Metal Crowns
- Extensive tooth reduction compared to partial crowns (3/4 crowns).
- May pose difficulty in assessing tooth vitality using electrical pulp testers.
- May cause interference with taste.
- Display of metal as a drawback.
Indications of Full Metal Crowns
- Teeth with extensive damage from caries or trauma, needing to protect the remaining structure from further fracture.
- Teeth with large amalgam restorations which requires additional protection from fracture.
- Teeth that have undergone endodontic treatment (root canal).
- Teeth requiring maximum retention and resistance (e.g., teeth with short crowns).
- Teeth needing contouring (e.g., receiving a clasp for a removable partial denture).
- Used as a bridge retainer.
- Correction of minor inclination.
- Patients with high caries index
- Correction of the occlusal plane.
Contraindications of Full Metal Crowns
- Patients with strong aesthetic concerns (when esthetics are paramount).
- When the level of retention and resistance needed is below the minimum requirements.
- Cases where ¾ crowns could serve as adequate treatment.
- When caries index is low.
Tooth Preparation Steps
- Occlusal, buccal, lingual, and proximal surface preparation.
Armamentarium
- Handpiece
- Coarse-grit round-end tapered diamond
- Fine-grit round-end tapered diamond
- Medium-grit short needle diamond
- Coarse-grit tapered torpedo diamond
- Fine-grit tapered torpedo diamond
- No. 17L bur
- Red utility wax
Criteria of Tooth Preparation
- Occlusal reduction: Depth orientation, grooves, and proper configuration of geometric inclines. Functional cusp bevels. Depth of occlusal reduction is dependent on size and shape of functional cusp and non-functional.
- Axial reduction: Parallel to the long axis of the tooth, employing a 6-degree taper, including convergence, a prepared margin, and chamfer location (supragingival). Avoid cutting beyond the midpoint of the tooth
Occlusion Reduction
- 1.5mm deep for functional cusps and 1mm deep for non-functional.
- Use round-end tapered diamond to make depth orientation grooves on the triangular ridges.
- Removal of tooth structure between grooves, performed in an inclined fashion.
- Functional cusp bevels and appropriate diamond bur sizes should be used.
Guiding Groove for Occlusal Reduction
- Guiding/depth holes are placed in central, mesial, and distal fossae, and connected.
- Guiding grooves are placed at buccal and lingual developmental and triangular ridge areas.
- Bevel the functional cusp to protect it from the diamond.
- Follow proper anatomical configuration when performing occlusal reduction.
- Groove placement follows central and developmental grooves, high and low points, triangular ridge tips.
Proximal Reduction
- Short thin needle diamonds are placed against the remaining island of tooth structure.
- Used in difficult areas.
- Moved in an up-and-down motion.
- Access is gained by sweeping the short thin diamond in tight areas.
- Process can be repeated on the opposite proximal surface.
Critical Area of Preparation
- Increasing the depth of reduction to produce a finish line with a torpedo.
- Chamfer finishing with a torpedo bur.
Complete Preparation
- Seating groove placement (0.5mm above the chamfer).
- Planar occlusal reduction, structural durability, retention, and resistance.
Review
- Occlusal guiding grooves
- Occlusal reduction
- Alignment grooves for axial reduction
- Axial reduction
- Breaking proximal contact
- Retentive grooves
- Finishing of the preparation
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Description
Test your knowledge on full metal crowns and their advantages, disadvantages, and indications in dental restoration. This quiz covers key concepts such as synonym definitions, material classifications, and preparation techniques for dental crowns.