口腔修复学精品课件（中山大学）4.金属全冠.pdfVIP

Restorations of Defected Teeth 张新春 中山大学光华口腔医学院 口腔修复教研室 zhangxc2010@  嵌体inlay  全冠full crown  部分冠partial veneer crown  桩核冠post and core crown  贴面veneer full crown 全冠 – 金属全冠metal full crown 铸造金属全冠cast metal full crown – 非金属全冠non-metal crown • 塑料全冠 • 全瓷冠 – 复合全冠compound full crown Casting full metal crown Keywords:  Casting full metal crown / Cast complete crown  Functional cusp Non-functional cusp  Functional cusp bevel Non-functional cusp bevel  Undercut  Guiding groove  Path of placement  Retention form Resistance form  Supplementary retention form Casting metal full crown 铸造金属全冠, complete cast crown  Definition: A metal restoration which involves all axials as well as the occlusal surface of the tooth being restored and fabricated by casting technique. 覆盖牙冠合面及所有轴面的，通过铸造技术完成的金属修复体 Classification  Casting alloy 1. Precious alloys—Au-Pd, Au-Pt –High precision, same rigidity as enamel, good biocompatibility 2. non-precious alloys—Ni-Cr, Co-Cr –Inexpensive, high rigidity tending to abrasion, allergy Choose precious alloy ！ Advantage  Excellent strength and retention force  Best longevity of all fixed restorations  Can be used as a retainer for a fixed dental prosthesis  Recontour buccal/lingual walls and can be highly polished to improve oral hygiene  Allow the necessary modifications for the creation of properly shaped survey lines, guide planes, and occlusal rest Advantages When compared with partial crowns  Greater retention than a more conservative restoration on the same tooth (e.g., a 7/8 or ¾ crown)  Greater resistance form than does a partial veneer crown