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HISTORY TAKING

CHIEF COMPLAIN

Comfort :
Function :

Social : poor oral hygiene
Appearance :

PAST MEDICAL HISTORY






PAST DENTAL HISTORY

attitude prognosis

SOCIO-ECONAMIC STATUS




/

INTRAORAL
EXAMINATION

INTERESTED FINDING
Abutment Condition
Caries or Crown fracture
Endodontic Treatment condition
Periodontal condition
Restoration

ABUTMENT CONDITION
Caries or Crown fracture

ABUTMENT CONDITION
Endodontic treatment condition

ABUTMENT CONDITION
Periodontal condition

ABUTMENT CONDITION
Restoration

Occlusion Scheme
Canine Protection
Mutually Protection
Group Function

Non identified

OCCLUSION

OCCLUSION
Angles Classification
Canine Classification

Interferences

OCCLUSION

Plastic Strip
working side
balancing side
3

- Working interference

- Non-working interference
- Protrusive interference

OCCLUSION
Premature contact in CR

CR


Premature contact in CR

Slide in Centric

CO MIP
CR
Slide in Centric

OCCLUSION


Trauma from occlusion

1. Primary trauma from occlusion

2. Secondary trauma from occlusion

TREATMENT PLAN
for fixed denture

TREATMENT PLAN
FOR FIXED DENTURE


36 implant, fixed,
RPD

follow up
complicate

TREATMENT PLAN
FOR FIXED DENTURE
1.

Single tooth restoration


restoration
Full metal crown
Metal ceramic crown (PFM)
All ceramic crown
Ceramic veneer crown

TREATMENT PLAN
FOR FIXED DENTURE
2.

The replacement of missing teeth

RPD
fixed partial denture
Implant
No prosthetic treatment

TREATMENT PLAN
FOR FIXED DENTURE
Abutment evaluation
1.
2.
3.
4.
5.
6.
7.

clinical crown length




Root length and form
Crown root ratio
Root surface area
tooth mobility

TREATMENT PLAN
FOR FIXED DENTURE
treatment plan
chart
Study cast
X-ray film
Intraoral & extraoral picture

PRINCIPLE OF TOOTH
PREPARATION

visittooth preparation

- temp crown ( bridgetemp


crown 2 )
- special tray
- master cast + duplicated cast
- design
- x-ray
- round DB, round end
taper DB, torpedo, etc.

STEP IN PREPARATION
vital ( : supraperiosteal, : ID)

1.Silicone index (*) anatomy



???

2.Depth guide

3.Gross reduction

4.Final preparation ( marginpack


cordrefine margin )

TOOTH
PREPARATION
FMC
PFM & All ceremic

Type of preparation
Incisal & occlusal reduction

1 mm.

1.5-2 mm.

Buccal reduction

1-1.5 mm.

1.2-1.5 mm.

Lingual reduction

1 mm.

1 mm.

All ceramic -- flat end


round internal line angle
stress

round end taper bur


** two plan anatomy

ARMAMENTARIUM

Safety
endcutting
DB

Flatend
tapered
DB

Roundend
tapered
DB

Rugbyshape DB

SILICONE INDEX

GROSS REDUCTION
Occlusal reduction

GROSS REDUCTION
Buccal Reduction

GROSS REDUCTION
Lingual Reduction

Enamel
fin

GROSS REDUCTION
Proximal Reduction

ESTABLISH MARGIN

Knife
edge

Bevel
Procelain,PF
M

Chamfer
FMC,PFM

Shoulder
procelain

Beveled
shoulder

REFINE MARGIN

PREP
?
- silicone index
- pink wax