Practice abstract
British Dental Journal 192, 377 - 387 (2002)
Published online: 13 April 2002 | doi:10.1038/sj.bdj.4801380
Crowns and other extra-coronal restorations: Occlusal considerations and articulator selection
J G Steele1, F S A Nohl2 & R W Wassell3
- Clarification of some of the terminology and concepts relating to occlusion as it is used in everyday practice, making clear why these concepts matter
- Undertaking a simple pre-operative examination of the occlusion as a matter of routine
- Helping clinicians identify cases where articulated study casts will help plan treatment and design restorations
- Advice is provided about selecting an appropriate articulator and taking appropriate records at the treatment stage.
Crowns and extra-coronal restorations:
- Changing patterns and the need for quality
- Materials considerations
- Pre-operative assessment
- Endodontic considerations
- Jaw registration and articulator selection
- Aesthetic control
- Cores for teeth with vital pulps
- Preparations for full veneer crowns
- Provisional restorations
- Impression materials and technique
- Try-in and cementation of crowns
- Porcelain veneers
- Resin bonded metal restorations
Abstract
For many dentists, occlusion carries an air of mystique. It even seems sometimes that a perverse pleasure is derived in making the whole subject more complicated than it really is. As a clinician, you need to be able to decide what you expect from your proposed restoration, and to identify situations where you may need to alter the existing occlusal scheme. At a fundamental level, you also need to provide the laboratory with appropriate clinical records to ensure that when you fit them, adjustments to the expensively prepared restorations are minimal. This requires a sound understanding of the basics.
- Senior Lecturer in Restorative Dentistry, Department of Restorative Dentistry, The Dental School, Framlington Place, Newcastle upon Tyne NE2 4BW
- Consultant in Restorative Dentistry, The Dental Hospital, Framlington Place, Newcastle upon Tyne NE2 4AZ
- Senior Lecturer in Restorative Dentistry, Department of Restorative Dentistry, The Dental School, Framlington Place, Newcastle upon Tyne NE2 4BW
Correspondence to: J G Steele1 e-mail: jimmy.steele@ncl.ac.uk
