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How to prepare a pfm crown

Prepare a Pfm Crown

11
STEPS
TOOLS

First review with the patient the agreed upon treatment plan and show patient sample of finished crown

Have patient read and sign informed consent for crowns

Select crown shade using mirror held by patient.

Apply topical anesthesia wait one or two full minutes

If using quadrant trays take an opposing arch impression as well as a bite registration.

Inject local anesthesia wait until it takes effect. Take two heavy body polyvinyl siloxane impressions using two triple trays or two quadrant trays.

Prepare the mesial and distal using the large tapered diamond or the 56 fissure bur as space permits

Reduce medial and distal with large tapered diamond. Reduce tooth enough so that medial and distal of prep no longer touch adjacent teeth

Reduce medial and distal with large tapered diamond. Reduce tooth enough so that medial and distal of prep no longer touch adjacent teeth

Use short needle nose red diamond to narrow mesial and distal to create space for 00 cord

Pack oo cord all around the base of the tooth, do not use aluminum sulfate (septin) use hemodent (aluminum chloride) instead.

00 cord at. Bottom of sulcus

00 cord at. Bottom of sulcus

Next use 2.00 mm bur to cut three occlusal depth cuts

Green 2mm depth cuts

Green 2mm depth cuts

Use 1.5 mm for axial depth cuts. (Yellow)

Use 1.5 mm for axial depth cuts. (Yellow)

Axial depth cuts. Being made

Axial depth cuts. Being made

Use 1.25 diamond to make buccal and lingual cuts at gingival  margins

Use 1.25 diamond to make buccal and lingual cuts at gingival margins

Add round diamond ball cut to buccal and lingual

Cutting bucal and lingual cuts

Cutting bucal and lingual cuts

Join depth cuts with narrower diamond

Join depth cuts with narrower diamond

Join depth cuts on buccal and lingual

Join depth cuts on buccal and lingual

Join depth cuts

Join depth cuts

Roundd sharp edges use. Mandrel and sand disk

Roundd sharp edges use. Mandrel and sand disk

Pack size 2 cord Impregnated with hemodent have patent bite on comprecap for 8 minutes

Pack size 2 cord Impregnated with hemodent have patent bite on comprecap for 8 minutes

Place size 2 cord with hemodent on top of sulcus

Place size 2 cord with hemodent on top of sulcus

Biting on comprecap

Biting on comprecap

A great final impression !

A great final impression !

  • 57 fissure bur fg carbide
  • Round diamond bur
  • Thick tapered Diamond
  • Thinner tapered Diamond
  • 2.00 occlusal depth cutter
  • 1.50 axial depth cutter
  • 00 aluminum chloride cord
  • Size 2 aluminum chloride gird
  • Cord packing instrument
  • Heavy body poly vinyl siloxane
  • Light body poly vinyl siloxane
  • Triple tray for single unit
  • Two quadrant trays for two units
  • Full arch plastic tray for three or more units
  • Temporary non eugenol cement
  • Rely x cement for permanent cementation
  • Lidocaine
  • Topical anesthetic
  • Lab prescription in duplicate
  • Lab bag
  • Shade guide
  • Plastic Baggie to store impression
  • Civicide to disinfect impression
  • Cartridge of crown and bridge temporary acrylic
  • Impression guns for poly vinyl siloxanes