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What Happens If

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Kamal Ahmed
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4 views

What Happens If

Uploaded by

Kamal Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Fixed Prosthodontics 1

- The finish line width or thickness is wider than half the stone.
Gutter finish line (enamel lip of unsupported enamel), fracture, leakage, the chance for dissolution of
luting cement & possibility of recurrent caries and periodontal diseases.

- The margin of the restoration is rough irregular.


- The finish line is irregular and rough.
Gingival bleeding, fracture, the chance for dissolution of luting cement & possibility of recurrent
caries and periodontal diseases.

- The finish line (Margin) is placed at the gingival crest.


The margin is rough and harbors bacteria which encourage recurrent decay and periodontal disease.

- The finish line is placed at the restoration.


The restoration has some sort of deformity leading to leakage, the chance for dissolution of luting
cement & possibility of recurrent caries and periodontal diseases.
- Violating the biologic width (less than 2mm between the finish line and the
bone crest biologic width).
- The margin of the restoration intrudes into the biologic width.
Violating the epithelial attachment will cause apical migration of the gingiva.
This will lead to tear PDL, gingival inflammation & recession, periodontal disease and bone loss.

- Patient has a gingival recession.


Subgingival chamfer or knife edge finish lines should be used.

- We decrease the thickness of shoulder finish line.


Porcelain fractures.

- The preparation of each surface is in a separate step.


Cervical Δ undercut areas.

1
Fixed Prosthodontics 1
- The diameter of reduced tooth cervically is less than occlusally (Divergence
or undercut)
Impossible seating of restoration.

- Occlusal convergence of buccal & lingual walls of the proximal groove in


relation to each other.
- Incisal convergence or divergence of pin holes.
Make the seating impossible.

- The preparation is parallel.


Cement cannot be extruded from the crown during cementation → excessive thickness of cement
occlusally and at the margin → prevent the crown from complete seating.

- The taper increases.


The free movement of the restoration will increase and the retention will be reduced.

- The casting is prepared by air-abrading carelessly.


This will lead to the margin destruction then leakage.

- The Patient has parafunctional habits as bruxism or biting habit such as pipe
smoking.
Difficult to prevent oblique forces from being applied to the restoration.

- The tooth preparation is short (according to tipping path).


The tipping path is in the artificial crown decreasing resistance.

- The geometric shape of the prepared tooth is round (Over-roundation).


This will lead to free movement of restoration decreasing resistance (modified with of boxes or
grooves in axial surfaces).

- A restoration doesn't have sufficient strength.


It will fail.

- Inadequate space or thickness in occlusal reduction.


This will lead to easy perforation of metals and fracture of ceramics by finishing procedures or by
wear in the mouth.

- A flat occlusal surface.


This will over shorten the preparation, endanger the pulp and affect retention and resistance.

2
Fixed Prosthodontics 1
- A bevel is not placed on the functional cusp.
This will lead to thin area and perforation or over-contouring (bulging) & poor occlusion.

- Insufficient tooth preparation in case of metal-ceramic restorations.


That will lead to poor appearance due to insufficient room for porcelain thickness, Fracture, Bulging.

- The Labial surface is prepared in one plane parallel to path of insertion in


case of CMR.
- Under reduction facially in case of CMR.
This results in insufficient space for porcelain in incisal 1/3 of labial surface leading to fracture.
Or This leads to over-contoured restoration.

- The Labial surface is prepared in one plane // to incisal 2/3 of labial surface
with more than sufficient space.
It will endanger the pulp & produced over tapered preparation affecting resistance and retention.

- Excessive incisal reduction more than 2mm.


It reduces the resistance and retention form of the preparation and affects pulp.

- Uncoverage of the buccal cusp in mandibular partial coverage.


This will lead to fracture because it is the functional cusp.

- Margin is placed so far apically.


That encroach on the attachment.

- Inadequate preparation.
This leads to poor marginal fit or deficient crown contour, plaque control around fixed restorations
will become more difficult. This will impede the long-term maintenance of dental health.

- Heat generation (thermal injury) during preparation.


It will cause aspiration of odontoblastic nucleus causing pain & hyper sensitivity that may be
reversible or irreversible.

- Insufficient axial reduction.


This will lead to over contoured restoration, plaque accumulation, periodontal disease or dental
caries.

- Inadequate occlusal reduction.


This will lead to occlusal dysfunction and traumatic occlusion.

3
Fixed Prosthodontics 1
- Poor margin placement.
This will lead to chipped enamel or cusp fracture.

- The emergence profile is convex.


This will lead to overhang restoration (bulging) that prevents the cleansing effect causing food
impaction and caries.

- Insufficient occlusal clearance.


This will lead to perforation by wear or during finishing (or Traumatic occlusion).

- Excessive occlusal reduction.


This will impair retention due to reduced occluso-gingival length.

- Large portion of super-erupted tooth blocked the pontic space.


Tooth extraction is the only choice.

- We don’t make crown for super erupted tooth opposing bridge.


This will lead to its fracture, leakage and tooth looseness due to very weak connectors.

- Over tapering of opposing axial walls.


Result in reduced retention.

- We don’t make functional cusp of bevel.


This will lead to perforation or traumatic occlusion.

- High proximal finish line.


- We don’t open contact.
Increase caries incidence because this area isn't self-cleansable area.

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