Dental Crowns Quiz

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Questions and Answers

Which of the following is NOT a synonym for a full metal crown?

  • Full cast crown
  • All metal crown
  • Partial veneer crown (correct)
  • Complete cast crown

What is the main purpose of placing a crown on a tooth with a large filling?

  • To improve the tooth's shade and color.
  • To protect the tooth and the filling from fracture. (correct)
  • To allow for improved access for future root canal therapy.
  • To reduce sensitivity to hot and cold.

Which of these crown types has the highest percentage of noble elements?

  • Noble metal crown
  • High noble metal crown (correct)
  • All metal crown
  • Base metal crown

What is a disadvantage of using a full metal crown over a partial crown?

<p>It requires more tooth structure removal. (D)</p> Signup and view all the answers

According to the content, what is a common reason to place a full metal crown?

<p>To protect a weak tooth from breaking or holding together fractured pieces. (B)</p> Signup and view all the answers

Which of the following correctly states the composition of a Noble metal crown?

<p>At least 25% noble elements (D)</p> Signup and view all the answers

Based on the content, what is a major advantage of metal crowns compared to other types of crowns?

<p>They have a tremendous strength and longevity. (C)</p> Signup and view all the answers

Which of the following is NOT a typical indication for a full metal crown?

<p>A tooth with a high esthetic requirement (C)</p> Signup and view all the answers

What does the content suggest about using an electrical pulp tester on a tooth restored with a full metal crown?

<p>It is typically not successful due to the crown's metallic structure. (A)</p> Signup and view all the answers

When preparing a tooth for a full metal crown, the axial reduction should ideally be:

<p>Parallel to the long axis of the tooth (A)</p> Signup and view all the answers

Which of the following burs is LEAST appropriate for the initial tooth preparation steps of a full metal crown?

<p>No. 17IL bur (B)</p> Signup and view all the answers

Which of the following is NOT included in the general steps for tooth preparation for a full metal crown?

<p>Gingival surface preparation (C)</p> Signup and view all the answers

For occlusal reduction, what is the recommended depth for the initial depth holes?

<p>1 mm (C)</p> Signup and view all the answers

A functional cusp bevel is primarily intended to:

<p>Protect the centric cusp with an adequate thickness of metal (B)</p> Signup and view all the answers

Which of these cusps is considered a non-functional cusp on a maxillary tooth?

<p>Buccal cusp (D)</p> Signup and view all the answers

What is the recommended taper for axial reduction of a tooth for a full metal crown?

<p>6-degree included convergence (C)</p> Signup and view all the answers

What is the primary purpose of using guiding grooves during occlusal reduction?

<p>To ensure that the reduction follows the natural anatomic contours of the tooth (A)</p> Signup and view all the answers

When making depth orientation grooves, according to the content, where should grooves be placed on a cusp?

<p>At both the high and low points of each cusp (A)</p> Signup and view all the answers

According to the content, what tool is suggested for creating depth orientation grooves on a tooth?

<p>A round-end tapered diamond bur (D)</p> Signup and view all the answers

What is the recommended depth of reduction on the functional cusps?

<p>1.5 mm (B)</p> Signup and view all the answers

What tool is recommended for precisely judging the depth of grooves after they are made?

<p>An enamel chisel (B)</p> Signup and view all the answers

How should the tooth structure be removed between the depth orientation grooves according to the content?

<p>In an inclined manner (C)</p> Signup and view all the answers

What type of bur is mentioned for planar occlusal reduction, in addition to the round tapered diamond bur?

<p>No. 17 bur (B)</p> Signup and view all the answers

What material is used to check occlusal clearance after tooth preparation according to the content?

<p>Utility wax (B)</p> Signup and view all the answers

During axial reduction, how should the diamond bur shank be oriented?

<p>Parallel to the proposed path of withdrawal (B)</p> Signup and view all the answers

When placing guiding grooves during axial reduction, the diamond bur should NOT cut:

<p>Beyond the midpoint of the tooth (B)</p> Signup and view all the answers

What type of diamond bur is primarily recommended for facial and lingual axial reduction?

<p>Torpedo diamond (B)</p> Signup and view all the answers

Ideally, how far interproximally should the facial axial reduction be extended?

<p>As far as possible without nicking the adjacent teeth (D)</p> Signup and view all the answers

How far interproximally should lingual axial reduction ideally extend?

<p>As far interproximally as can easily be accomplished (A)</p> Signup and view all the answers

What is observed in the occlusal view after axial reduction, but prior to proximal reduction?

<p>Isolated areas of untouched tooth structure around proximal contacts (C)</p> Signup and view all the answers

Which type of diamond bur is recommended for the proximal reduction?

<p>Short thin needle diamond (C)</p> Signup and view all the answers

When accessing tight areas during proximal reduction, which part of the thin needle diamond may be employed?

<p>The tip of the diamond (C)</p> Signup and view all the answers

What is the function of a torpedo diamond bur in crown preparation?

<p>To increase the depth of reduction and produce a finish line. (C)</p> Signup and view all the answers

Where should the seating groove be placed relative to the chamfer line in a full veneer crown preparation?

<p>0.5 mm occlusal to the chamfer line. (C)</p> Signup and view all the answers

What is the primary function of the alignment grooves during axial reduction?

<p>To define the path of insertion. (C)</p> Signup and view all the answers

Which of the following is a critical area during crown preparation?

<p>The finish line area. (D)</p> Signup and view all the answers

What is the purpose of breaking the proximal contact in crown preparation?

<p>To ensure the reduction can be done separately to the adjacent teeth. (C)</p> Signup and view all the answers

Which of the following follows the breaking of proximal contacts?

<p>Axial reduction (D)</p> Signup and view all the answers

What is the sequence of preparation steps, based on the provided review?

<p>Occlusal reduction, axial reduction, retentive grooves. (B)</p> Signup and view all the answers

What is the final step in full veneer crown preparation based on the review?

<p>Finishing of the preparation. (B)</p> Signup and view all the answers

Flashcards

Full Metal Crown

A metallic restoration that covers the entire crown of a tooth, restoring its function, shape, and anatomy.

All Metal Crown

A crown made entirely of a precious metal alloy, known for its strength and durability. It's commonly used for restoring teeth that require substantial reinforcement.

Metal Ceramic Crown

A crown made of a combination of metal and ceramic, often using gold or other base metals as the foundation and porcelain fused to the metal for aesthetic appeal.

Zirconia Crown

A type of ceramic crown that is known for its strength, durability, and natural tooth-like appearance. It's commonly used for restoring front teeth.

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When is a Crown Necessary?

The use of a crown is indicated when a tooth is significantly damaged or weakened. It's needed to protect the tooth from further damage, restore its shape, and maintain its function.

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Where are Full Metal Crowns Commonly Used?

Full metal crowns are often used for restoring posterior teeth (back teeth) due to their strength and durability. These teeth are used for chewing and grinding food, so a strong restoration is needed.

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Advantages of Full Metal Crowns

A crown offers several advantages, including strength, durability, and resistance to breaking or chipping. They provide excellent retention and are suitable for restoring hidden teeth.

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Disadvantages of Full Metal Crowns

A key disadvantage of full metal crowns is the need to remove a significant amount of tooth structure during preparation. This can be a concern in cases where the tooth has limited remaining structure.

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Endodontically Treated Teeth

Teeth that have undergone root canal treatment.

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Ideal Taper

The ideal amount of taper (angle) needed for a full metal crown preparation is 6 degrees.

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Preparation Margin

The junction between the crown preparation and the tooth structure. It's typically located slightly above the gum line, preventing irritation.

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Occlusal Surface

The surface that experiences the most force during chewing.

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Occlusal Reduction

Reduces the height of the occlusal surface, creating a smooth and flat platform for the crown.

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Functional Cusps

Important cusps that help guide the jaw during chewing and help prevent tooth displacement or wear.

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Guiding Groove

A pre-defined groove used as a guide during occlusal reduction, ensuring proper crown shape and function.

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Critical area of preparation

The area on a tooth preparation where the most reduction is needed, usually located at the margins or edges

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Chamfer finishing

A specific type of tooth preparation finish that creates a smooth, bevelled edge, typically using a torpedo diamond bur

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Seating groove

A groove placed 0.5mm above the chamfer line on a tooth preparation, providing extra support and improving the fit of the crown

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Complete full veneer crown preparation

The final step in preparing a tooth for a full veneer crown, involving all necessary reductions, grooves, and final shaping

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Occlusal guiding grooves

Grooves placed on the occlusal surface of a tooth during preparation to guide the placement of the crown, ensuring proper bite alignment

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Alignment grooves for axial reduction

Grooves placed on the tooth's sides (axial surfaces) to guide the placement of the crown, ensuring proper fit and contour

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Axial reduction

The process of reducing the tooth's sides (axial surfaces) to create space for the crown and ensure proper contour

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Guiding Groove Placement

A groove placed in the low point and high point of each cusp to guide occlusal reduction. The low points are the central and developmental grooves, while the high points are the tips and triangular ridges.

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Initial Occlusal Reduction

The initial step in occlusal reduction involves using a round-end tapered diamond to create depth orientation grooves on the triangular ridges and primary developmental grooves.

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Depth Orientation Grooves

Depth orientation grooves are strategically placed to guide the reduction process. They help ensure that the occlusal reduction follows the natural anatomy of the tooth.

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Occlusal Reduction Depth

A crucial step in occlusal reduction involves applying a consistent depth to ensure proper occlusion. On functional cusps, a depth of 1.5 mm is ideal, while for nonfunctional cusps, 1 mm is sufficient.

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Enamel Chisel Depth Measurement

An enamel chisel is used to precisely measure the depth of the grooves created during occlusal reduction. This critical step ensures accurate and controlled reduction.

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Inclined Tooth Structure Removal

A specialized technique used in occlusal reduction that involves removing tooth structure between the grooves in an inclined manner. This technique helps create a smooth, natural transition.

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Planar Occlusal Reduction

This technique employs a round, tapered diamond and a no. 17 bur to reduce the occlusal surface in a flat, planar manner. It's essential for creating a smooth and functional occlusal surface.

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Functional Cusp Bevel

This step targets the functional cusps, beveling them using a round-end tapered diamond and a no. 17 bur. This technique contributes to a smooth and functional occlusal surface.

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Torpedo Diamond

A type of diamond bur used to shape the tooth's axial walls, creating a smooth and even contour.

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Chamfer Finish Line

The line where the prepared tooth structure meets the crown, ensuring smooth transition and a good fit.

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Midpoint Limit

When performing axial reduction, the preparation should not extend beyond the midpoint of the tooth to avoid weakening its structure.

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Interproximal Embrasures

During axial reduction, the preparation should extend as far as possible into the spaces between the teeth (interproximal embrasures) without damaging neighboring teeth.

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Isolated Islands of Tooth Structure

Areas of untouched tooth structure remaining after initial preparation, especially around the points where teeth touch (proximal contacts).

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Short Thin Needle Diamond

A type of diamond bur used to reduce the tooth structure between the proximal contacts, shaping the interproximal areas for the crown.

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Study Notes

Extra-Coronal Full Coverage Tooth

  • Presentation by Dr. Hala M. Alhawij, BDS, MSc, University of Tripoli, 2024
  • Topics covered include various types of dental crowns, their advantages, disadvantages, indications, contraindications, and tooth preparation procedures
  • Crown types: full metal, all ceramic, metal ceramic, zirconia

Types of Crowns

  • Different types of crowns are used for various dental purposes, including protecting or repairing damaged teeth
  • Full metal, porcelain fused to metal, all-ceramic/all-porcelain, and zirconia are mentioned as examples

Need for Crowns

  • Protect weakened teeth from breakage, repair cracked teeth, restore misshapen or discolored teeth
  • Repair broken teeth
  • Used to support teeth with large fillings
  • Used to cover teeth that have undergone root canal treatment
  • Cover dental implants

Definition of All-Metal Crown

  • Metallic artificial restoration for the coronal portion of the tooth, maintaining function
  • Contour and anatomical replication
  • Gold crowns historically represent wealth and luxury in some cultures

Synonyms for Crowns

  • Full cast crown
  • Complete cast crown
  • All metal crown
  • Full veneer crown

Types of Metal Crowns

  • High noble metal crown: Contains 60% noble elements, with 40% gold
  • Noble metal crown: Contains at least 25% noble elements
  • Base metal crown: Contains less than 25% noble elements

Advantages of Metal Crowns

  • Exceptional strength compared to other crown types
  • High quality material
  • Durability, lasting longer than other crowns
  • Great retention, securely maintaining the crown
  • Suitable for repairing hidden teeth

Disadvantages of Metal Crowns

  • Removing extensive tooth structure
  • Difficulty evaluating tooth vitality with electrical pulp testers
  • May affect taste perception
  • Visible metal appearance

Indications of Full Metal Crown

  • Teeth with considerable destruction (caries or trauma) to hold the remaining structure intact
  • Teeth with existing large amalgam restorations to strengthen the remaining structure
  • Endodontically treated teeth
  • Teeth requiring maximum retention and resistance, often in cases of short crowns
  • Recontouring teeth prior to supporting removable partial dentures
  • Used as retainer for bridges

Contraindications of Full Metal Crowns

  • High aesthetic needs
  • Insufficient retention and resistance
  • Cases where a conservative crown type (e.g., 3/4 crown) is a more suitable option, especially for teeth with limited buccal surface or shorter bridge spans
  • Low caries index

Tooth Preparation Steps

  • Occlusal surface preparation
  • Buccal surface preparation
  • Lingual surface preparation
  • Proximal surfaces 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: Involves depth orientation grooves
  • Axial reduction: Placement parallel to the long axis of the tooth, following recommended 6-degree taper

Occlusion Reduction

  • Methods for reducing the occlusal surface
  • Round-end tapered diamond for creating depth grooves
  • Functional and nonfunctional cusps, measuring depth for grooves

Guiding Grooves for Occlusal Reduction

  • Placement of depth holes and connecting them
  • Guiding grooves in the buccal and lingual development grooves
  • Use of guiding grooves for proper occlusal reduction
  • High and low points of each cusp, including the triangular ridges on the tooth's surface

Occlusion Reduction (Alternative Descriptions):

  • Using a 1.5mm deep depth for functional cusps and 1mm on nonfunctional cusps
  • Using enamel chisels can help determine the depth of grooves in the occlusal reduction process

Additional Tooth Preparation Details (Various Aspects)

  • Removal of tooth structure between grooves using an inclined manner
  • Utilizing round-end tapered diamonds to create orientation grooves on triangular ridges
  • Application of functional cusp bevels
  • Using no. 17 bur
  • Checking occlusal clearance
  • Measurement of occlusal clearance using RGS 3, ensuring loose instrument fit
  • Placement of seating grooves (0.5mm above chamfer)
  • Distinguishing complete full veneer crown preparation, features, functions, and considerations for each

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