Sunday, April 1, 2012

A note on Jacket crowns, Indications, Alternatives, Assessment of teeth and Tooth preparation


A note on Jacket crowns
Indications
Discolored teeth

Fractured teeth

Grossly carious teeth

Hypoplastic teeth

Tooth wear

As part of a bridge

Alternatives to JCs
Bleaching

Composite veneering

Porcelain veneering

Composite restorations
Resin bonded bridges
Assessment of Individual teeth
Vitality / status of the pulp
Size of the pulp in vital teeth
Resting lip line and smile line
Aesthetics
Pre operative work up
Finalize the material/s
Depth of preparation
Path of insertion
Appropriate burs, trays and materials
Local anesthesia if tooth is vital
Shade selection

Stages of tooth preparation

Depth orientation grooves

           Labial, incisal reduction

              Interdental reduction



























           Palatal cervical collar

            Cingulum reduction

              Gingival margin




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