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    Cast Rstoration

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    jaimini
    This document discusses cast metal restorations, including: 1. It provides a brief history of cast metal restorations from early techniques developed in the 1840s to modern CAD/CAM systems. 2. It outlines the main indications for cast metal restorations, such as extensive tooth involvement, correction of occlusion, supporting endodontically treated teeth, and use as retainers or abutments. 3. It notes some advantages of cast metal restorations including their ability to efficiently replace lost tooth structure, withstand occlusal loads, and provide rigid control of plaque accumulation.

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    Cast Rstoration

    Uploaded by

    jaimini
    95 views45 pages
    This document discusses cast metal restorations, including: 1. It provides a brief history of cast metal restorations from early techniques developed in the 1840s to modern CAD/CAM systems. 2. It outlines the main indications for cast metal restorations, such as extensive tooth involvement, correction of occlusion, supporting endodontically treated teeth, and use as retainers or abutments. 3. It notes some advantages of cast metal restorations including their ability to efficiently replace lost tooth structure, withstand occlusal loads, and provide rigid control of plaque accumulation.

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    CAST RSTORATION.pptx

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    This document discusses cast metal restorations, including: 1. It provides a brief history of cast metal restorations from early techniques developed in the 1840s to modern CAD/CAM systems. 2. It outlines the main indications for cast metal restorations, such as extensive tooth involvement, correction of occlusion, supporting endodontically treated teeth, and use as retainers or abutments. 3. It notes some advantages of cast metal restorations including their ability to efficiently replace lost tooth structure, withstand occlusal loads, and provide rigid control of plaque accumulation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    95 views45 pages

    Cast Rstoration

    Uploaded by

    jaimini
    This document discusses cast metal restorations, including: 1. It provides a brief history of cast metal restorations from early techniques developed in the 1840s to modern CAD/CAM systems. 2. It outlines the main indications for cast metal restorations, such as extensive tooth involvement, correction of occlusion, supporting endodontically treated teeth, and use as retainers or abutments. 3. It notes some advantages of cast metal restorations including their ability to efficiently replace lost tooth structure, withstand occlusal loads, and provide rigid control of plaque accumulation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 45

    CAST RESTORATIONS

    BY: DR.JAIMINI PATEL


    1ST YR MDS
    DEPT.OF CONSERVATIVE AND ENDODONTICS
    INTRODUCTION
     Introduction
     History
     Indications
     Contraindication
     Advantages
     Disadvantages
     Materials for cast restorations
     Mouth preparation prior to cast restoration
    HISTORY

     Metal casting : Lost wax/ “Cire perdue” method


     Agiulhon de Saran in 1844: Inlay in investment
    mold with molten Gold
     B.F. Philbrook: simplified version of casting
    process in 1897
     Many techniques: flowing solder into molds for
    gold inlay fabrication
     Porcelain inlays : 1857; later replaced by the cast
    gold inlays
     William Taggart in 1907: Technique of
    fabrication of gold castings
     Paralleling systems: 1890s
     Centrifugal casting machine : Jamieson in
    1907
     1985: first ceramic inlay CAD/CAM
    INDICATION

     Extensive tooth involvement


     Adjunct to successful periodontal therapy
     Correction of occlusion/ Diastema closure
     Endodontically treated teeth
     Support for and preparatory to partial or
    complete dentures
     Retainers for fixed prosthesis
     Partially subgingival restorations
     Low incidences of plaque accumulation or decay
     Functionally sound stomatognathic system with
    complete freedom of the mandible to move
    without any premature contacts
     Cracked teeth
     Esthetics
     Dissimilar metals
    EXTENSIVE TOOTH INVOLVEMENT
    EXTENSIVE TOOTH INVOLVEMENT
     Efficiently replace lost
    tooth structure
     Support remaining
    tooth structure
     Higher strength &
    superior control of
    contacts and contours
     Cast metal onlay:
    withstand &
    distribute occlusal
    loads.
    ADJUNCT TO SUCCESSFUL PERIODONTAL
    THERAPY

     Contacts & contours, marginal ridges,


    embrasures: physiologically restored &
    permanently maintained
     Splinting of periodontally weakened teeth by
    cast restorations
     Preserve intact facial and lingual enamel/
    cementum
    Endodontically treated Correction of occlusion
    teeth

     Reinforcement of the  Changes in occlusal


    clinical crown portion table or occlusal parts
     Onlay : distribute of a tooth
    occlusal loads to  Inlay/ onlay for
    reduce chances of extension of
    tooth fracture mesiodistal dimension
     Slightly tilted teeth
    Correction of occlusion
    PARTIAL & COMPLETE DENTURES-
    REMOVABLE & FIXED
     Abutment teeth: accommodate the retainers for
    denture
     Better accommodation of forces

     Rest seats, guiding planes better controlled with


    indirect technique .
    Low incidence of plaque
    Functionally sound accumulation/ decay
    stomatognathic system

     Free of any pathology  Tooth – cement- cast


     Pathology: diagnosed restoration complex:
    and treated break down avoided
     If not expected to be  Rigid control of

    corrected by cast plaque accumulation


    restorations-
    correction prior to
    restoration
    CRACKED TEETH
     cleavage planes for possible future fracture
     Cast onlays with skirting & crowns: braces tooth
    against fracture injury
     Restoration & splinting of cracked, separated
    segments of teeth
     Healing of some cracks Cracked teeth
    DISSIMILAR METALS

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