Fixed Review

RPD vs. FPD

Missing teeth:
Space > posterior teeth Removable
Space 4 incisors Removable
last exam says 4 or more, txbk says more than 4
Space inc. canines & 2 other contiguous teeth Removable
Edentulous space w/ no distal abutment Removable
Edentulous space = short & straight FPD
Defect free abutments, replace 1 tooth Resin-bonded tooth spted FPD
Insufficient # of abutment teeth
no strength for FPD
Implant spted FPD
xerostomia
Long standing space w/ little or no drifting, no super eruption no Tx

Pulp-capped teeth DO NOT USE as abutments unless ENDO-TREATED

endo teeth = ok for abutment
Crown-to-Root = 2:3 or 1:1
Want roots broad Labiolingually, multi-rooted & splayed
Antes Law: root surface of abutments must = or surpass that of teeth replaced.

Cements used @ Pacific

Cement

Type

Compressive
strength

pH

use

Zinc Phos

Hand mix

high

Lowpulp
irritn

Dont use on all porc b/c

expands

GI

Hand &
Capsule

Good comp
& tensile

Lower than
ZnPO

Self adhesive Capsule

Resin Cement
Poly
Carboxylate
(provisional?)

Dont need to etch or bond

Low
but high
tensile

~5 little
irritn

on endo-treated teeth, doesnt

bond to gold

Provisional cements
Cement
Temp Bond
Ultra Temp

Type
Eugenol
Polycarboxylate
Non-eugenol

Use
Do not use w/ resin ( strength)
On endo teeth, no gold

Temp Bond NE Non-eugenol

All Ceramic Restorations

when perm cement = resin cement or resin reinforced GI

Type
Conv PJC
Empress 1
Eris

Aesthetic
High
High

Strength
Relatively
Relatively

Opp dent
Wears
Kind

Margins

Adv/Disadv

excellent

Fails b/c of
porc
fracture

Procera

Higher
than PFM

Very b/c
Zirc core

Can wear

good

Cerec

Good,
Feldspathic
porc
Good

-conserv.
prep
(chamfer)
-fails @ jxn
of porc/Zr
Dis: cost
learning
curve

Lava

Better inlab than

in-office
Strong w/
Zirc core the
color of
dentin

Use
Not often used
Emp1=single
Eris = 3+
units
-can be in FPD

all ceramic
milled bridge
(3+ units)

Gold vs. Ceramic Onlays/Inlays

*use w/ provisional cement thats non-eugenol
Gold

Ceramic

Clearance
1-1.5 occ

Angles
Sharp

2 occ

Round

Divergence Box/bevels
Prox ext
6-10 o
beveled
Minimal
shoulders or
chamfers in box
& on fxnal cusps
12-15 o

90o finish line in

box & cusps

Greater

Partial Coverage (7/8 & crowns)

use when:
enough tooth structure
enough retention possible
good occlusion
aesthetics important
Gold prep standards
Implants:
Endosseous Implants: surgically inserted into the jawbone.
Subperiosteal Implants : on top of jawbone, underneath gums

attachment
luted

bonded

dont penetrate into jawbone

Transosseous Implants: surgically inserted into jawbone chin (nut & bolt)