Professional Documents
Culture Documents
by Dr Eddie Bass
Basic technique.......
retraction
tweezers
Source: www.dentaloutlook.com.au
how to technique
Tooth preparation for posterior crowns. (cont)
2
endodontic
origin
Smooth surface preparation. >>
Create a groove at the gingival level on the buccal
and lingual surfaces.
A small wheel diamond burs results in a smooth
bur is used to prepare a groove following the
groove along the buccal buccal and lingual
and lingual walls at the contours of the gingival
level of the gingival margin. In so doing it
margin. establishes the cervical
Alternatively, a small margin of the prepara-
round diamond bur can tion in these locations.
be used for the same Example burs that meet
purpose. these requirements are
Either a small wheel diamond bur (left) or a small round
Using either of these > shown on the next pages.
diamond bur (right) is used to produce a groove on the
buccal and lingual surfaces corresponding to the contour
of the gingival margin.
Use a safe-ended diamond bur to prepare the buccal and lingual walls.
Source: www.dentaloutlook.com.au
how to technique
Tooth preparation for posterior crowns. (cont)
Example case.....
1 A pear-shaped bur
was used to prepare 2 The diamond bur
FG 239 012 3 Before any further
preparation was
the approximal (Horico) was used carried out a
surfaces and establish the because it had the appropriate retraction cord was placed in
appropriate taper. length and taper. the gingival sulcus.
Aust. distributor Horico burs - Henry Schein Halas.
Source: www.dentaloutlook.com.au
how to technique
Tooth preparation for posterior crowns. (cont)
13 To obtain a con-
trolled reduction of 14 Grooves were pre-
pared to the depth 15 At the completion
the occlusal surface
the occlusal surface of the tip of the end- had grooves running
a depth-cutting bur was used. A cutting bur. bucco-lingually and grooves
Komet 8804009 Bur (above) running mesio-distally.
was selected (see footnote *).
16 An oval-shaped dia-
mond bur (Komet 17 A tungsten carbide,
end-cutting bur (Komet 18 The end-cutting bur
was used at 40,000
379314023) was H207010-014) was rpm in a friction grip
used to finish the occlusal selected for the final smoothing red-band handpiece. (If the inter-
reduction to the level of the and finishing of the cervical proximal space is small, a 010 or
depth cuts. This provided 1.0 - shoulder. The edge of the bur had 012 diameter bur may be needed).
1.5 mm of clearance. been slightly bevelled.
19 Appearance of
finished preparation 20 The gingival tissues
two weeks later had 21 In the case shown a
full gold crown was
after the strand of completely recovered placed. The margins
Gingi-Pak had been removed and were typical of those seen finished slightly subgingivally. The
prior to impression taking. when the retraction technique technique described can be used,
employing trichloracetic acid is used. with the appropriate modifica-
tions, for other types of crowns.
* Left: A Premier D.C. Depth-Cut diamond bur (DC1.0 or
DC1.5) can also be used in this step. These burs work
better if the flange is removed as shown.
Aust. distributors Komet burs - Henry Schein Halas. Premier burs - Gunz Dental.