1. Occlusal reduction
▪︎Preparation of depth guide wells
▪︎Depth guide grooves are prepared joining the wells
▪︎Placement of functional cusp bevel
▪︎Occlusal reduction: 1.5mm for functional cusps & 1mm for non functional cusps
2. Axial reduction
3. Establishing Chamfer finish line
4. Seating groove is made on buccal surface of mandibular teeth & on palatal surface of maxillary teeth
2. Complete porcelain crown/ Porcelain jacket / All ceramic crown
INDICATIONS
Fractured incisal edges
Hypoplastic, discolored & malformed teeth
Facial or proximal caries which cannot be restored by composite
CONTRAINDICATIONS
Young patients
Short clinical crown
Excess overbite, least overjet
High DMF rate
Tooth Preparation
1. Incisal - 2mm
▪︎Done by placing depth orientation grooves
▪︎Incisal edge is not straight but inclined at 17° from facial to lingual surface. This bevel is imp. for stress distribution
Single & multiple restorations for both anterior & posterior teeth
DISADVANTAGES
Can't be used in younger patients
Excessive facial reduction may lead to pulp involvement
Poor colour matching
Tooth Preparation
1. Incisal / occlusal - 1.5-2mm
▪︎Occlusal depth 1.5mm - if coverage is only metal
▪︎Occlusal depth 2mm - if metal to be veneered with ceramic
2. Facial - 1.5-2mm
3. Lingual surface
▪︎Similar to complete veneer & less than all ceramic
4. Proximal
Finish lines
▪︎Labial - shoulder with bevel
▪︎Lingual - Chamfer
4. Complete gold crown with acrylic facing
INDICATIONS
Posterior teeth with non esthetic zone
A retainer requiring maximum retention
Short clinical crowns
CONTRAINDICATIONS
Teeth in esthetic zone
Extensively restored teeth
DISADVANTAGES
Reduced strength due to absence of metal structure
The need for shoulder finish line requires a lot of tooth reduction on proximal & lingual aspects
Results in fracture if inadequate tooth reduction. This is due to inherent porcelain brittleness
Partial veneer crowns
1. Three quarter crown
Advantages
Conservative of tooth reduction
Esthetics
Electric Pulp testing can be done
Ensures complete seating as it is open faced & therefore permits easy escapement of cement
Disadvantages
Poor retention & resistance when compared to CVC
Skillfull preparation is critical to avoid metal display
May cause discolouration of anterior teeth particularly when teeth are thin labiolingually
PVC is limited to fairly intact teeth with normally shaped, average length clinical crowns
Retention grooves
For anterior 3/4th crown they are parallel to incisal one half to 2/3rds of the facial surface
For posterior teeth, they are parallel to long axis of tooth
They are placed in buccal half with buccal to lingual divergence
2. Reverse three quarter crown
Indications: used on mandibular molars with severe lingual inclination preventing large destruction of tooth structure that would cover if Complete veneer crown were used
3. Seven eights crown
Indications: used on maxillary premolars & molars to serve as an abutment for fpd
4. One half crown
Indications: used on tilted mandibular fpd abutment
INDICATIONS
Intact or minimally restored teeth
Teeth with normal anatomic crown form i.e without excessive cervical constriction
Teeth with adequate crown length
CONTRAINDICATIONS
High caries rate
Short teeth
Bell shaped teeth
Teeth with insufficient buccolingual width
Excessively restored teeth
Key points
For maximum retention
Crown preparation with long, parallel Axial walls & grooves
Decreased retention
▪︎By increasing the taper
▪︎A short overtapered preparation decreases retention because restoration can be removed along infinite number of paths