Post on 07-Apr-2018
8/6/2019 Anterior Handout
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Anteriors
8/6/2019 Anterior Handout
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TreatmentOp/onsforAnteriorCaries
ART IntraCoronalRestora/ons FullCoverage– SSC,openfaceSSC,stripcrown,pre-veneeredSSC
Extrac/on–withorwithoutprosthe/creplacement
8/6/2019 Anterior Handout
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CavityDesignforIntraCoronalRestora/ons
OR
“WhyIntraCoronalRestora/onsDon’tWork”
• Reten/onisalmosten/relyfrometchand
bond
• Thicknessofenamelofaprimarytoothisapproximately½thatofapermanenttooth
• Mostchildrenarebruxers
• Flexureisaproblem
8/6/2019 Anterior Handout
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WhyFullCoverage
• Pa/entage,behaviour,coopera/on• Moistureandhemorrhagecontrol
• Highcariesrisk-rememberanteriorcariesisSECC
• Cost• Easeofplacement
8/6/2019 Anterior Handout
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AdvantagesofPreVeneeredSSC
• Goodesthe/cs• Goodreten/on• Moisturehemorrhagecontrolisnotcri/cal• Minimalchair/me
• Fullcoverageprotec/onofSSC
8/6/2019 Anterior Handout
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DisadvantagesofPreVeneeredSSC
• Increasedcost• Moreaggressivetoothreduc/on
• Metalvisiblefromlingual• Chippingorfracture• Colormatchmaybedifficult
8/6/2019 Anterior Handout
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CaseSelec/on
• Noanteriorcrossbites• Noseverecrowding• Someclinicalcrownmustremain• Bestesthe/cswhenmul/plecrownsare
placed
8/6/2019 Anterior Handout
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SizingofCrown
8/6/2019 Anterior Handout
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FeatherEdgePrepara/on
8/6/2019 Anterior Handout
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FeatherEdgePrepara/on
8/6/2019 Anterior Handout
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InterproximalReduc/on
8/6/2019 Anterior Handout
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ShapingofCrown
8/6/2019 Anterior Handout
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StudyofPediatricden/stsandwhattheyuseforfullcoverageof
anteriorteeth
• Stripcrowns46%• Preveneeredcrowns41%
• UniversityofDetroitMercySchoolofDen/stry2008
8/6/2019 Anterior Handout
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PrematureLossofAnteriorPrimaryTeeth
• Spacelossisunlikely,solongastheprimarycaninesareeruptedinto
occlusion
• Replacementifprimaryincisorsis
elec/veonlyandisonlyrecommended
forcosme/cs–notspacemaintenance