Оглавление
James C. Kessler. Fundamentals of Fixed Prosthodontics
Fundamentals of Fixed Prosthodontics
FUNDAMENTALS OF FIXED PROSTHODONTICS. FOURTH EDITION
Herbert T. Shillingburg, Jr, DDS
David A. Sather, DDS. Edwin L. Wilson, Jr, DDS, MEd. Joseph R. Cain, DDS, MS. Donald L. Mitchell, DDS, MS. Luis J. Blanco, DMD, MS. James C. Kessler, DDS
Dedication
Authors
Preface
Acknowledgments
1 An Introduction to Fixed Prosthodontics
Terminology
Diagnosis
Health history
Medications
Allergies
Cardiovascular disorders
Epilepsy
Diabetes
Xerostomia
Osteonecrosis
Current complaint and patient expectations
TMJ and occlusal evaluation
Intraoral examination
Diagnostic casts
Full-mouth radiographs
Protection Against Infectious Diseases
References
2 Fundamentals of Occlusion
Centric Relation
Mandibular Movement
Determinants of mandibular movement
Occlusal interferences
Normal versus pathologic occlusion
Organization of the Occlusion
Bilateral balanced occlusion
Unilateral balanced occlusion
Mutually protected occlusion
Effects of Anatomical Determinants
Molar disocclusion
Condylar guidance
Anterior guidance
References
3 Articulators
Arcon and Nonarcon Articulators
Tooth–Transverse Horizontal Axis Relationship
Registration of Condylar Movements
References
4 Interocclusal Records
Centric Relation Record
Armamentarium
Technique
Maximal Intercuspation Record
Armamentarium
Technique
Lateral Interocclusal Record
Armamentarium
Technique
References
5 Articulation of Casts
Whip Mix Facebow and Articulator
Facebow armamentarium
Facebow record technique
Mounting the maxillary cast
Mounting the mandibular cast
Setting condylar guidance
Anterior guidance
Denar Facebow and Articulator
Facebow armamentarium
Facebow record technique
Mounting the maxillary cast
Mounting the mandibular cast
Setting condylar guidance
Anterior guidance
Hanau Facebow and Articulator
Facebow armamentarium
Facebow record technique
Mounting the maxillary cast
Mounting the mandibular cast
Setting condylar guidance
Custom anterior guidance
Mechanical anterior guidance
References
6 Treatment Planning for Single-Tooth Restorations
Intracoronal Restorations
Glass ionomer
Composite resin
Simple amalgam
Complex amalgam
Metal inlay
Ceramic inlay
Mesio-occlusodistal onlay
Extracoronal Restorations
Partial coverage crown
All-metal crown
Metal-ceramic crown
All-ceramic crown
Ceramic veneer
Restoration Longevity
References
7 Treatment Planning for the Replacement of Missing Teeth
Selection of the Type of Prosthesis
Removable partial denture
Conventional tooth-supported fixed partial denture
Resin-bonded tooth-supported fixed partial denture
Implant-supported fixed partial denture
No prosthetic treatment
Case presentation
Abutment Evaluation
Crown-root ratio
Root configuration
Periodontal ligament area
Biomechanical Considerations
Special Problems
Pier abutments
Tilted molar abutments
Canine-replacement fixed partial dentures
Cantilever fixed partial dentures
References
8 Fixed Partial Denture and Implant Configurations
Simple Fixed Partial Dentures (One Tooth)
Complex Fixed Partial Dentures (One Tooth)
Simple Fixed Partial Dentures (Two Teeth)
Complex Fixed Partial Dentures (Two Teeth)
Complex Fixed Partial Dentures (More Than Two Teeth)
Complex Fixed Partial Dentures (Pier Abutment)
References
9 Principles of Tooth Preparations
Preservation of Tooth Structure
Retention and Resistance
Taper
Freedom of displacement
Length
Substitution of internal features
Path of insertion
Structural Durability
Occlusal reduction
Functional cusp bevel
Axial reduction
Marginal Integrity
To bevel . .
. . . Or not to bevel
Finish line configurations
Preservation of the Periodontium
Instrumentation
References
10 Preparations for Full Coverage Crowns
Full Metal Crown Preparation
Armamentarium
Technique
Metal-Ceramic Crowns
Anterior metal-ceramic crowns
Armamentarium
Technique
Posterior metal-ceramic crowns
Armamentarium
Technique
All-Ceramic Crowns
Armamentarium
Technique
References
11 Preparations for Partial Coverage Crowns
Maxillary Posterior Three-Quarter Crowns
Armamentarium
Technique
Posterior Partial Coverage Variations
Anterior Three-Quarter Crowns
Armamentarium
Technique
Pin-Modified Three-Quarter Crowns
Armamentarium
Technique
Resin-Bonded Fixed Partial Dentures
Metal framework
Rochette bridge
Maryland bridge
Virginia bridge
Resin cements
Treatment planning
Advantages
Disadvantages
Indications
Contraindications
Tooth preparation
Preparation armamentarium
Preparation sequence
Delivery. Delivery armamentarium
Delivery sequence
References
12 Preparations for Intracoronal Restorations
Proximo-occlusal Inlays
Armamentarium
Technique
Metal Inlay Variations
Mesio-occlusodistal Onlays
Armamentarium
Technique
References
13 Preparations for Severely Debilitated Teeth
Principle of Substitution
Box forms
Grooves
Pins
Bases and Cores
Bases
Cores
Modifications for Damaged Vital Teeth
Orthodontic Adjuncts to Restoring Damaged Teeth
Regaining interproximal space
Extrusion of teeth
Restoration of Endodontically Treated Teeth
Rationale
Prefabricated dowel with amalgam or resin core
Armamentarium
Technique
Custom cast dowel cores
Armamentarium
Canal preparation
Resin pattern fabrication
Finishing and cementation of the dowel core
References
14 Preparations for Periodontally Weakened Teeth
Preparation Finish Line
Location
Furcation flutes
Root Resection
Indications
Contraindications
Capacity of resected roots
Resection technique
Tooth preparation and crown configuration
Maxillary distofacial root
Maxillary mesiofacial root
Maxillary palatal root
Maxillary facial roots
Mandibular hemisection
“Skyfurcation”
Success and failure
References
15 Provisional Restorations
Types of Provisional Restorations
Prefabricated versus custom restorations
Direct versus indirect techniques
Resins for Provisional Restorations
Techniques for Custom Provisional Restorations
Overimpression-fabricated provisional crown
Overimpression armamentarium
Overimpression technique
Cementation armamentarium
Cementation technique
Template-fabricated provisional fixed partial denture
Template armamentarium
Template technique
Template-fabricated provisional fixed partial denture technique
Template-fabricated VLC provisional restoration
Armamentarium
Technique
Shell-fabricated provisional restoration
Armamentarium
Technique
Overimpression-fabricated bis-acryl composite crown
Techniques for Prefabricated Provisional Restorations
Anterior polycarbonate crown
Armamentarium
Technique
Provisional crown for an endodontically treated tooth
Preformed anatomical metal crown
Armamentarium
Technique
References
16 Fluid Control and Soft Tissue Management
Fluid Control
Rubber dam
High-volume vacuum
Saliva ejector
Svedopter
Antisialagogues
Finish Line Exposure
Mechanical
Chemicomechanical (retraction cord)
Armamentarium
Technique
Surgical. Rotary curettage
Electrosurgery
Types of current
Grounding
Contraindications
Armamentarium
Technique
Gingival sulcus enlargement
Removal of an edentulous cuff
Crown lengthening
Lasers
References
17 Impressions
Comparison of Impression Materials
Wettability
Viscosity
Cost
Reversible Hydrocolloid
Armamentarium
Impression making with reversible hydrocolloid
Custom Resin Trays
Tray armamentarium
Tray preparation for VLC
Tray preparation for autopolymerizing acrylic resin
Dual-Arch Impressions
Armamentarium
Technique
Polysulfide
Armamentarium
Impression making with polysulfide
Condensation Silicone
Armamentarium
Impression making with condensation silicone
Polyvinyl Siloxane
Armamentarium
Polyether
Armamentarium
Impression making with polyether
Impressions for Pin-Retained Restorations
Disinfection of Impressions
Digital Impressions
References
18 Working Casts and Dies
Working Cast with a Separate Die
Armamentarium
Impression pouring
Die preparation
Working Cast with a Removable Die
Straight dowel pin
Armamentarium
Technique
Pindex system
References
19 Wax Patterns
Wax Pattern Fabrication
Armamentarium
Coping fabrication technique
Axial Contours
Emergence profile
Occlusal Morphology
Cusp–marginal ridge arrangement
Maxillary teeth
Mandibular teeth
Cusp-fossa arrangement
Margin Finishing
Functionally Generated Path Technique
References
20 Investing and Casting
Dental Casting Alloys
Investment Materials
Shrinkage compensation
Setting expansion
Hygroscopic expansion
Wax pattern expansion
Thermal expansion
Types of Investments
Gypsum-bonded investments
Investing armamentarium
Sprue former attachment
Investing procedure
Casting armamentarium for types II and III gold alloys
Burnout
Casting technique for types II and III gold alloys
Cleaning the casting
Investment of inlay and dowel-core patterns
Phosphate-bonded investments
Investing armamentarium
Investing procedure
Casting armamentarium for gold-palladium alloys
Casting technique for gold-palladium alloys
Casting technique for base metal alloys
References
21 Cementation and Bonding
Abrasives and Polishing Materials
Preliminary Finishing of Gold Restorations
Armamentarium
Technique
Try-in and Adjustment of Gold Restorations
Armamentarium
Technique
Adjustment of proximal contacts
Marginal adaptation (completeness of seating)
Gold margin finishing
Occlusal adjustment
Contours
Esthetics
Precementation Polishing of Gold Restorations
Armamentarium
Technique
Postcementation Finishing of Gold Restorations
Preliminary Finishing of Base Metal Restorations
Armamentarium
Technique
Try-in, Adjustment, and Polishing of Base Metal Restorations
Armamentarium
Technique
Cements
Bonding mechanisms. Nonadhesive luting
Micromechanical bonding
Molecular adhesion
Cement selection
Resin luting cements
Zinc phosphate cement
Polycarboxylate cement
Zinc oxide–eugenol cement
Glass-ionomer cement
Hybrid ionomer cements
Summary
Cementation
Cementation with resin-modified glass-ionomer cement
Cementation with resin cement
Cementation with zinc phosphate cement
Cementation with polycarboxylate cement
Special Considerations
Gold inlays
Custom cast dowel cores
Armamentarium
Technique
All-ceramic restorations
Armamentarium
Technique
Metal-ceramic crowns
Fixed partial dentures
References
22 Esthetic Considerations
Esthetic Zone
Shade Selection
Shade selection sequence
References
23 All-Ceramic Restorations. Evolution of All-Ceramic Crowns
Overview of Available All-Ceramic Systems
Bonded ceramic restorations
Feldspathic porcelain restorations
Highly filled glass-ceramic restorations
High-strength core restorations
Alumina-reinforced substructures
Zirconia-reinforced substructures
All-ceramic crown fabrication
Porcelain Laminate Veneers
Tooth preparation
Incisal reduction
Axial outline
Axial reduction
Tissue management
Proximal refinement
Incisal finish line
Final finishing
Impression
Provisional restorations
Fabrication of working casts and dies
Fabrication of the refractory die
Preparation of the refractory die
Porcelain application
Cementation and Finishing of All-Ceramic Restorations
Crown cementation
Veneer cementation
References
24 Metal-Ceramic Restorations
Bonding Mechanisms
Alloys Used
Coping Design
Thickness of the porcelain veneer
Porcelain support
Thickness of metal
Occlusal and proximal contacts
Extent of veneered area
Facial margins
Single Coping Wax Pattern
Waxing armamentarium
All-wax technique
CAD/CAM pattern fabrication
Alloy surface treatment
Surface treatment armamentarium
Oxidation
Porcelain Addition
Opaque porcelain application
All-porcelain margin fabrication
Dentin and enamel porcelain application
Porcelain surface treatment
Finishing and Cementation
Shade modification
Chairside correction
References
25 Pontics and Edentulous Ridges
Tissue Contact
Postinsertion Hygiene
Pontic Designs
Saddle
Modified ridge lap
Hygienic
Conical
Ovate
Prefabricated pontic facings
Metal-ceramic pontics
The Edentulous Ridge
Classification
Pontic modification
Surgical correction
Pontic Fabrication
Armamentarium
All-metal hygienic pontic fabrication
Plaster matrix
Investing and casting
Metal-ceramic fixed partial denture fabrication
Fixed partial denture coping wax patt
References
26 Solder Joints and Other Connectors
Gold Alloy Fixed Partial Denture Soldering
Single-piece casting
Indexing
Armamentarium
Investing
Soldering
Adding Proximal Contacts
Armamentarium
Repairing Casting Voids
Armamentarium
Breaking Solder Joints
Armamentarium
Soldering Metal-Ceramic Alloys
Preveneer Metal-Ceramic Alloy Soldering
Postveneer Metal-Ceramic Alloy Soldering
Nonrigid Connectors
Dovetail
Split pontic
Cross-pin and wing
References
27 Restoration of Osseointegrated Dental Implants
History of Dental Implants
Treatment Planning
Oral examination and health history
Imaging
Diagnostic casts
Evaluation of bone at the prospective implant site
Location of important anatomical structures
Determination of ideal implant positioning
Implant Restoration Retention
Implant Placement
Inclination
Use of a surgical splint
Number, length, and diameter of implants
Occlusal Considerations
References
28 Single-Tooth Implant Restoration
Implant Placement and Healing
Evaluation of Gingival Tissue
Impression Taking and Cast Fabrication
Closed and open tray impression techniques
Preliminary alginate impression and study cast fabrication
Final impression and master cast fabrication
Definitive Implant Restoration
Articulation of the master cast
Restoration wax-up
Restoration placement
References
29 Multiple-Tooth Implant Restoration
Implant Placement and Healing
Impression Taking and Cast Fabrication
Closed and open tray impression techniques
Preliminary alginate impression and study cast fabrication
Final impression and master cast fabrication
Definitive Implant Restoration
Articulation of the master cast
Restoration wax-up
Restoration placement
References
