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Name: ___________________________________
ID Number: _________________________________
4. Assessment Measurements:
- Theoretical Exams: Mid-term I and II, Mid-year exam and
Final exam.
2. Time and venue: - Practical Exams 10%: Mid-year exam and Final exam.
- Sunday, M28 simulation laboratory - The competency exam includes: Anterior and posterior
- (9:00 am - 12:00 pm) crown preparations on plastic teeth inside the phantom
- (1:00 pm 4:00 pm) head.
- Continuous assessment 5% (attendance, assignments,
quizzes, professionalism, projects submission).
Laboratory Armamentarium:
Safety Glasses
Disposable scalpel handle, Examination Kit (intra-oral mirror, explorer, periodontal probe)
Crown & Bridge Preparation Burs: Shoulder Diamond Bur, Chamfer Diamond Bur, Long Diamond Needle Bur, Short Diamond Needle Bur,
Flame-shape Diamond Bur, Round-end Diamond Bur, Shoulder Carbide Bur, Chamfer Carbide Bur.
Upper & Lower NISSIN Models
LABORATORY REGULATIONS
Each student should sit at their designated area. Names will be mounted on each
bench.
The working models should be marked with the students name and university
number.
Student ID labels are confirmed by assigned lab supervisor.
Students are responsible for the equipment they are assigned and will be required to
replace if damaged or lost.
Lab work should be finished during the lab sessions and grade transferred to logbooks.
No work is to be completed outside the lab time.
Completed work is handed in the assigned area in the lab.
Unsubmitted work will not be marked.
All the instruments you need should be brought as soon as possible
You should leave your worktop clean and tidy. Each students work area will be
assessed at the end of each lab. Marks are counted towards continuous assessment.
Cooperation and professionalism in the lab time are encouraged to facilitate your
progress in the course.
Only lab materials and instruments are allowed on bench tops. All personal items,
coats and bags are to be placed under benches or on window benches.
A clean and tidy laboratory white coat must be worn and buttoned every session
together with the scrubs underneath. Attire must be acceptable with closed-top
shoes. Shorts and sandals are not permitted.
Name badge must be worn during every laboratory session.
No loose or dangerous jewelry, chains, bracelets, etc.
Protective masks and glasses must be worn during working.
Long hair must be kept tied back safely.
No food or drink of any kind is allowed in the laboratory. No chewing gum!
Mobile phones are not permitted. (Kept silent/turned off in bags or lockers).
Radios/portable audio player-earphones are not permitted.
Inter-Cuspal Position
Lateral Guidance
Anterior Guidance
Posterior Interference(s)
Inter-Cuspal Position
Lateral Guidance
Anterior Guidance
Posterior Interference(s)
Practical Exercise # 2
Full Gold Crown Preparation (# 46)
Axial - Sufficient tissue removal for retention/ - Axial walls slightly: - Gross over-reduction, pulp
Reduction resistance (1-1.5mm) under-reduced M D B L exposure ( 2mm)
- Proximal clearance is adequate/ contact over-reduced M D B L - Gross under-reduction (
fully broken - Proximal clearance inadequate 0.5mm)
- Correct contour; line angles are definite but - Preparations lacks definition (conical) - Alternative preparation or
rounded; smooth walls. - Slight debris RCT needed
- No sharp cusps or line angles - Proximal contact not broken
- Preparation is free of debris - Axial walls rough with sharp
angles
- Excessive debris
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of -Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Final restoration will not draw.
- Path of insertion is parallel to the long axis path of insertion: M D F L - Major modification required.
of tooth. - Walls prepared with extreme
variance to proper path of
insertion.
Cervical - Chamfer margin 0.5mm of width. -Width of chamfer is slightly heavy or -Chamfer width is grossly
Margin - Finish line shape and angle are shallow heavy causing excessive loss
appropriate -Margin continuous with minor of tooth structure (1.5mm)
- Cervical margin is smooth, continuous (no irregularity -No discernible margin
steps) and well defined -Located supragingival < 0.5mm or 0.6 - (<0.3mm)
-Margin optimally placed (0.5mm) -Excessively rough or irregular,
1.0mm
supragingivally, defined, and identifiable not allowing fabrication of a
-Located subgingival < 0.5mm margin on the restoration
-Unsupported enamel (lipping) -Located supragingival
- Irregular thickness, slight roughness, 1.5mm
+ 1 mm from ideal position -Located subgingival 0.5mm
-Excessive unsupported
enamel (lipping)
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
Practical Exercise # 3 (GRADED)
Full Gold Crown Preparation (# 46)
Axial - Sufficient tissue removal for retention/ - Axial walls slightly: - Gross over-reduction, pulp
Reduction resistance (1-1.5mm) under-reduced M D B L exposure ( 2mm)
- Proximal clearance is adequate/ contact over-reduced M D B L - Gross under-reduction (
fully broken - Proximal clearance inadequate 0.5mm)
- Correct contour; line angles are definite but - Preparations lacks definition (conical) - Alternative preparation or
rounded; smooth walls. - Slight debris RCT needed
- No sharp cusps or line angles - Proximal contact not broken
- Preparation is free of debris - Axial walls rough with sharp
angles
- Excessive debris
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of -Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Final restoration will not draw.
- Path of insertion is parallel to the long axis path of insertion: M D F L - Major modification required.
of tooth. - Walls prepared with extreme
variance to proper path of
insertion.
Cervical - Chamfer margin 0.5mm of width. -Width of chamfer is slightly heavy or -Chamfer width is grossly
Margin - Finish line shape and angle are shallow heavy causing excessive loss
appropriate -Margin continuous with minor of tooth structure (1.5mm)
- Cervical margin is smooth, continuous (no irregularity -No discernible margin
steps) and well defined -Located supragingival < 0.5mm or 0.6 - (<0.3mm)
-Margin optimally placed (0.5mm) -Excessively rough or irregular,
1.0mm
supragingivally, defined, and identifiable not allowing fabrication of a
-Located subgingival < 0.5mm margin on the restoration
-Unsupported enamel (lipping) -Located supragingival
- Irregular thickness, slight roughness, 1.5mm
+ 1 mm from ideal position -Located subgingival 0.5mm
-Excessive unsupported
enamel (lipping)
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
Practical Exercise # 4
Posterior PFM Crown Preparation (# 36)
Axial - Sufficient tissue removal for retention/ - Axial walls slightly: - Gross over-reduction, pulp
Reduction resistance (1-1.5mm) under-reduced M D B L exposure ( 2mm)
- Proximal clearance is adequate/ contact over-reduced M D B L - Gross under-reduction (
fully broken - Proximal clearance inadequate 1mm)
- Correct contour; line angles are definite but - Preparations lacks definition (conical) - Alternative preparation or
rounded; smooth walls. - Slight debris RCT needed
- No sharp cusps or line angles - Excessive debris
- Preparation is free of debris - Proximal contact not broken
- Axial walls rough with sharp
angles
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of - Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Walls prepared with extreme
- Path of insertion is parallel to the long axis path of insertion: M D F L variance to proper path of
of tooth. insertion
- Final restoration will not draw.
- Major modification required.
Cervical - B: 1.2 mm shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
Margin - L: 0.5 mm chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M, D: tapering from shoulder to chamfer 1mm - knife edge Chamfer
- Finish line shape and angle are - Margin continuous with minor (<0.3mm) or deep (>1.5mm)
appropriate, following gingival margin irregularity - Excessively rough or
- Cervical margin is smooth, continuous (no - Located supragingival < 0.5mm or 0.6 irregular, not allowing
steps) and well defined fabrication of a margin on the
- 1.0mm
- Margin optimally placed supragingivally restoration.
(0.5mm), defined, and identifiable - Located subgingival < 0.5mm - Located supragingival
- Unsupported enamel (lipping) 1.5mm
- Irregular thickness, slight roughness, - Located subgingival 0.5mm
+ 1 mm from ideal position - Excessive unsupported
enamel (lipping)
Seating - Seating groove is proper depth (1mm) - Seating groove is slightly deep, - Seating groove is grossly
Groove angulation (path of insertion- long axis shallow or improperly shaped. 1) deep (2mm)
of tooth) and shape. - Seating groove < 0.5mm from the 2) non-existent
- Seating groove 0.5 mm away from the finish line - Seating groove placed on the
finish line finish line or subgingival
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
Practical Exercise # 5 (GRADED)
Posterior PFM Crown Preparation (# 36)
Axial - Sufficient tissue removal for retention/ - Axial walls slightly: - Gross over-reduction, pulp
Reduction resistance (1-1.5mm) under-reduced M D B L exposure ( 2mm)
- Proximal clearance is adequate/ contact over-reduced M D B L - Gross under-reduction (
fully broken - Proximal clearance inadequate 1mm)
- Correct contour; line angles are definite but - Preparations lacks definition (conical) - Alternative preparation or
rounded; smooth walls. - Slight debris RCT needed
- No sharp cusps or line angles - Excessive debris
- Preparation is free of debris - Proximal contact not broken
- Axial walls rough with sharp
angles
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of - Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Walls prepared with extreme
- Path of insertion is parallel to the long axis path of insertion: M D F L variance to proper path of
of tooth. insertion
- Final restoration will not draw.
- Major modification required.
Cervical - B: 1.2 mm shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
Margin - L: 0.5 mm chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M, D: tapering from shoulder to chamfer 1mm - knife edge Chamfer
- Finish line shape and angle are - Margin continuous with minor (<0.3mm) or deep (>1.5mm)
appropriate, following gingival margin irregularity - Excessively rough or
- Cervical margin is smooth, continuous (no - Located supragingival < 0.5mm or 0.6 irregular, not allowing
steps) and well defined fabrication of a margin on the
- 1.0mm
- Margin optimally placed supragingivally restoration.
(0.5mm), defined, and identifiable - Located subgingival < 0.5mm - Located supragingival
- Unsupported enamel (lipping) 1.5mm
- Irregular thickness, slight roughness, - Located subgingival 0.5mm
+ 1 mm from ideal position - Excessive unsupported
enamel (lipping)
Seating - Seating groove is proper depth (1mm) - Seating groove is slightly deep, - Seating groove is grossly
Groove angulation (path of insertion- long axis shallow or improperly shaped. 1) deep (2mm)
of tooth) and shape. - Seating groove < 0.5mm from the 2) non-existent
- Seating groove 0.5 mm away from the finish line - Seating groove placed on the
finish line finish line or subgingival
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
Practical Exercise # 6 (GRADED)
Posterior PFM Crown Preparation (# 16)
Axial - Sufficient tissue removal for retention/ - Axial walls slightly: - Gross over-reduction, pulp
Reduction resistance (1-1.5mm) under-reduced M D B L exposure ( 2mm)
- Proximal clearance is adequate/ contact over-reduced M D B L - Gross under-reduction (
fully broken - Proximal clearance inadequate 1mm)
- Correct contour; line angles are definite but - Preparations lacks definition (conical) - Alternative preparation or
rounded; smooth walls. - Slight debris RCT needed
- No sharp cusps or line angles - Excessive debris
- Preparation is free of debris - Proximal contact not broken
- Axial walls rough with sharp
angles
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of - Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Walls prepared with extreme
- Path of insertion is parallel to the long axis path of insertion: M D F L variance to proper path of
of tooth. insertion
- Final restoration will not draw.
- Major modification required.
Cervical - B: 1.2 mm shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
Margin - L: 0.5 mm chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M, D: tapering from shoulder to chamfer 1mm - knife edge Chamfer
- Finish line shape and angle are - Margin continuous with minor (<0.3mm) or deep (>1.5mm)
appropriate, following gingival margin irregularity - Excessively rough or
- Cervical margin is smooth, continuous (no - Located supragingival < 0.5mm or 0.6 irregular, not allowing
steps) and well defined fabrication of a margin on the
- 1.0mm
- Margin optimally placed supragingivally restoration.
(0.5mm), defined, and identifiable - Located subgingival < 0.5mm - Located supragingival
- Unsupported enamel (lipping) 1.5mm
- Irregular thickness, slight roughness, - Located subgingival 0.5mm
+ 1 mm from ideal position - Excessive unsupported
enamel (lipping)
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
vPractical Exercise # 7 (GRADED)
Posterior PFM Crown Preparation (# 24)
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of - Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Walls prepared with extreme
- Path of insertion is parallel to the long axis path of insertion: M D F L variance to proper path of
of tooth. insertion
- Final restoration will not draw.
- Major modification required.
Cervical - B: 1.2 mm shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
Margin - L: 0.5 mm chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M, D: tapering from shoulder to chamfer 1mm - knife edge Chamfer
- Finish line shape and angle are - Margin continuous with minor (<0.3mm) or deep (>1.5mm)
appropriate, following gingival margin irregularity - Excessively rough or
- Cervical margin is smooth, continuous (no - Located supragingival < 0.5mm or 0.6 irregular, not allowing
steps) and well defined fabrication of a margin on the
- 1.0mm
- Margin optimally placed supragingivally restoration.
(0.5mm), defined, and identifiable - Located subgingival < 0.5mm - Located supragingival
- Unsupported enamel (lipping) 1.5mm
- Irregular thickness, slight roughness, - Located subgingival 0.5mm
+ 1 mm from ideal position - Excessive unsupported
enamel (lipping)
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
Practical Exercise # 8 (GRADED)
Direct Impressions for cast post & core (Graded)
Student Name_________________ ID #_____________________ Group_________________
Armamentarium:
Mirror, Explorer, Tweezers, Application instrument, Radiographic film, Endodontic Ruler, Micro brush, High and low speed hand pieces, Preparation burs, Gates
Glidden drill or peeso reamer, Twisted drill, Auto polyermerizing resin (Duralay), Separating medium.
Steps:
Preparation of Coronal - Adequately prepared coronal - Coronal tooth structure is (1- - Coronal tooth structure is < 1mm
Tooth Structure tooth structure with sufficient 2mm) of length of length
length available 2mm - Minimally undermined tooth - Severely undermined tooth
- No undermined, weak tooth structure structure
structure - Finish line < 0.5 mm in depth - Excessively deep finish line
- Preliminary 0.5 mm supragingival - Finish line place slightly away compromising remaining tooth
finish line from its ideal position structure
- Adequate ferrule effect - Finish line slightly shallow or - Finish line placed far from its
deep ideal position
- Ferrule effect is compromised - No ferrule effect
Removal of Root Canal - Ideal apical seal - Acceptable apical seal - Severely compromised apical
Filling - Remaining gutta percha is - Remaining gutta percha is less seal
optimal in relation to root length than ideal in relation to root length - No adequate gutta percha
(maintaining a minimum of 5mm (maintaining 3mm GP) remaining
GP)
Post Space Preparation - Adequate post space preparation - Post space preparation is: - Post space preparation is
- Adequate remaining dentine (at under-prepared or over-prepared grossly:
least 1mm dentine thickness - Acceptable remaining dentine under-prepared or over-prepared
circumferentially) (0.6- 0.9mm) - Remaining dentine is too thin
Duralay Impression Post - Post is ideal in length (2/3 of root - Post is slightly short & - Post is too short in length and
length) & diameter (not exceeding large/narrow in diameter. narrow in width
1/3 of root cross-section), - Slight gap in length/width - Post does not fit or locked
corresponding to the prepared between post and remaining gutta - Large defects between resin
post space percha/dentine post-tooth interface
- Post is retentive but easy to - Post is slightly loose or difficult to - Resin not set
remove remove (tight)
- No Gaps or defects between the - Minor defects between the resin
resin post-tooth interface post-tooth interface
- Fully set resin - Resin not adequately set
Core Build-up - Properly shaped core - Core is acceptable in shape - Core is too short/long
- Core is ideal in length & width - Acceptable core in length & width - Core morphology is grossly mis-
replacing missing tooth structure replacing missing tooth structure shaped
- Core has adequate occlusal - Core has no adequate occlusal - Core is high in occlusion
clearance clearance
Practical Exercise # 9
Anterior PFM Crown Preparation (# 11)
Facial & Proximal - Two plane facial reduction: - One plane facial reduction - Gross over-reduction, pulp
Axial Reduction Gingival 1/3 (1.2 mm) Over- reduction up to 2mm exposure ( 2mm)
Incisal 2/3 (1.5 mm) Under- reduction up to 1mm - Gross under-reduction (
- Adequate proximal clearance (1.2 - Does not follow anatomy (boxy in 1mm)
mm), contact fully broken shape) - Alternative preparation or
- Correct contour; line angles are - Proximal clearance inadequate RCT needed
definite but rounded; smooth walls. - Preparations lacks definition (conical) - Proximal contact not broken
- Preparation is free of debris - Slight debris - Axial walls rough with sharp
angles
- Excessive debris
Lingual Clearance/ - Adequate clearance (1-1.2 mm) at - Cingulum/fossa concavity clearance: - Excessive under-reduction
Axial Reduction cingulum/fossa concavity Over-reduction (1.5-2 mm) (<0.3mm)
- Axial lingual wall clearance (0.5mm) Under-reduction (<1mm) - Excessive over-reduction
- Axial lingual wall clearance: (>2 mm)
Over-reduction (up to 1mm) - Blending lingual wall with
Under-reduction (<0.5mm) lingual fossa
Convergence and - Taper fully visual with (6-10 ) axial - Slightly excessive convergence (20- - Decided undercuts
Path of Insertion convergence 25) but resistance form maintained. - Excessive convergence
(POI) - Preparation allows the fabrication of - Walls prepared with slight variance to results in grossly tapered
a restoration with optimal retention path of insertion: M D F L prep or lack of retention/
and contour - Wall are parallel with no visual taper resistance ( 30)
- No undercuts - Minor undercut(s) that is/are
manageable by lab
- Path of insertion is parallel to the - Sharp line angles - Walls prepared with
long axis of tooth. extreme variance to proper
- No sharp cusps or line angles path of insertion.
- Final restoration will not
draw.
- Major modification required
Cervical Margin - F:1.2 -1.5 mm uniform shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
- L: 0.5 mm uniform chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M,D: tapering from shoulder to 1mm - knife edge Chamfer
chamfer - Irregular thickness, slight roughness, + (<0.3mm) or deep (>1.5mm)
- Follows gingival margin contour 0.5 1 mm from ideal position - Excessively rough or
mm away from margin - Margin continuous with minor irregular, not allowing
- Finish line shape and angle are irregularity fabrication of a margin on the
appropriate, following gingival margin - Located supragingival < 0.5mm or 0.6 restoration.
- Cervical margin is smooth, - Located supragingival
1.0mm
continuous (no steps) and well 1.5mm
defined - Located subgingival < 0.5mm - Located subgingival
- Margin optimally placed (0.5mm) - Unsupported enamel (lipping) 0.5mm
supragingivally, defined, and - Irregular thickness, slight roughness, + - Excessive unsupported
identifiable 1 mm from ideal position enamel (lipping)
Adjacent Teeth & - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Tissue Damage - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
- Minor damage to gingival consistent restoration).
with procedure. - Excessive damage to
gingiva
Practical Exercise # 10 (GRADED)
Anterior PFM Crown Preparation (# 11)
Convergence and - Taper fully visual with (6-10 ) axial - Slightly excessive convergence (20- - Decided undercuts
Path of Insertion convergence 25) but resistance form maintained. - Excessive convergence
(POI) - Preparation allows the fabrication of - Walls prepared with slight variance to results in grossly tapered
a restoration with optimal retention path of insertion: M D F L prep or lack of retention/
and contour - Wall are parallel with no visual taper resistance ( 30)
- No undercuts - Minor undercut(s) that is/are - Walls prepared with
- Path of insertion is parallel to the manageable by lab extreme variance to proper
long axis of tooth. - Sharp line angles path of insertion.
- No sharp cusps or line angles - Final restoration will not
draw.
- Major modification required
Cervical Margin - F:1.2 -1.5 mm uniform shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
- L: 0.5 mm uniform chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M,D: tapering from shoulder to 1mm - knife edge Chamfer
chamfer - Irregular thickness, slight roughness, + (<0.3mm) or deep (>1.5mm)
- Follows gingival margin contour 0.5 1 mm from ideal position - Excessively rough or
mm away from margin - Margin continuous with minor irregular, not allowing
- Finish line shape and angle are irregularity fabrication of a margin on the
appropriate, following gingival margin - Located supragingival < 0.5mm or 0.6 restoration.
- Cervical margin is smooth, - Located supragingival
1.0mm
continuous (no steps) and well 1.5mm
defined - Located subgingival < 0.5mm - Located subgingival
- Margin optimally placed (0.5mm) - Unsupported enamel (lipping) 0.5mm
supragingivally, defined, and - Irregular thickness, slight roughness, + - Excessive unsupported
identifiable 1 mm from ideal position enamel (lipping)
Adjacent Teeth & - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Tissue Damage - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
- Minor damage to gingival consistent restoration).
with procedure. - Excessive damage to
gingiva
Practical Exercise # 11 (GRADED)
Custom-made Provisional Crown
Marginal Integrity, - Margin scarcely detected or not - Slightly detectable margin in - Restoration margin grossly:
Internal Adaptation detected accuracy Overextended > 1.0mm
- Accurate margin adaptation - Restoration margin slightly: Underextended > 1.0mm
- Accurate internal adaptation under extended 0.5 - 1.0mm Over contoured > 1.0mm Under
- Margin not over/underextended over extended 0.5 - 1.0mm contoured > 1.0mm
- Margin not over/under-contoured - Poor internal fit but no rocking - Restoration is unstable or non-
- Restoration is stable and retentive - Restoration margin slightly: retentive
over contoured 0.5 - 1.0mm
under contoured 0.5 - 1.0mm
Axial Contours/ - Optimal axial contours - Over contoured axial form - Grossly over contoured axial
Proximal Contact - Proximal contacts restored with proper (inadequate embrasures) surface (tissue impingement)
size and position - Under contoured (large - Open contact > 0.5mm
- Proper embrasure form embrasures)
- Contacts slightly light or heavy
Occlusal Anatomy - Proper occlusal anatomy restored - Anatomical form is slightly: - Traumatic occlusion > 1.0mm
- Optimal occlusal contact under contoured - No occlusal contact > 1.0mm
over contoured - Excessive over contour
incorrect - Excessive under contour
- Slightly light or heavy contact - Restoration submitted broken
or cracked
Removal of - Restoration can be smoothly removed - Restoration removed with - Restoration cannot be
Provisional difficulty removed
Restoration
Cementation - Crown correctly positioned and - Crown not well seated - Fractured crown
cemented - Open margin(s) in relation to - Unseated crown
- No open margins (lifted crown) finish line - Grossly excess cement left
- Embrasures clean - Remnant cement left in
- Floss slightly resistance to insertion/ embrasures and around the
removal margins
Practical Exercise # 12
Anterior PFM Crown Preparation (# 13)
Adjacent teeth and - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
tissue - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
- Minor damage to gingival restoration)
consistent with procedure. - Excessive damage to gingiva
Practical Exercise # 13 (GRADED)
Anterior PFM Crown Preparation (# 13)
Adjacent teeth and - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
tissue - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
- Minor damage to gingival restoration)
consistent with procedure. - Excessive damage to gingiva
Practical Exercise # 14
Posterior PFM Bridge Preparation (# 35 - 37)
Axial - Sufficient tissue removal for retention/ - Axial walls slightly: - Gross over-reduction, pulp
Reduction resistance (1-1.5mm) under-reduced M D B L exposure ( 2mm)
- Proximal clearance is adequate/ contact over-reduced M D B L - Gross under-reduction (
fully broken - Proximal clearance inadequate 1mm)
- Correct contour; line angles are definite but - Preparations lacks definition (conical) - Alternative preparation or
rounded; smooth walls. - Slight debris RCT needed
- No sharp cusps or line angles - Excessive debris
- Preparation is free of debris - Proximal contact not broken
- Axial walls rough with sharp
angles
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of - Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Walls prepared with extreme
- Path of insertion is parallel to the long axis path of insertion: M D F L variance to proper path of
of abutment teeth. insertion
- Final restoration will not draw.
- Major modification required.
Cervical - B: 1.2 mm shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
Margin - L: 0.5 mm chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M, D: tapering from shoulder to chamfer 1mm - knife edge Chamfer
- Finish line shape and angle are - Margin continuous with minor (<0.3mm) or deep (>1.5mm)
appropriate, following gingival margin irregularity - Excessively rough or
- Cervical margin is smooth, continuous (no - Located supragingival < 0.5mm or 0.6 irregular, not allowing
steps) and well defined fabrication of a margin on the
- 1.0mm
- Margin optimally placed supragingivally restoration.
(0.5mm), defined, and identifiable - Located subgingival < 0.5mm - Located supragingival
- Unsupported enamel (lipping) 1.5mm
- Irregular thickness, slight roughness, - Located subgingival 0.5mm
+ 1 mm from ideal position - Excessive unsupported
enamel (lipping)
Seating - Seating groove is proper depth (1mm) - Seating groove is slightly deep, - Seating groove is grossly
Groove angulation (path of insertion- long axis shallow or improperly shaped. 1) deep (2mm)
of tooth) and shape. - Seating groove < 0.5mm from the 2) non-existent
- Seating groove 0.5 mm away from the finish line - Seating groove placed on the
finish line finish line or subgingival
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
Practical Exercise # 15 (GRADED)
Posterior PFM Bridge Preparation (# 35-37)
Axial - Sufficient tissue removal for retention/ - Axial walls slightly: - Gross over-reduction, pulp
Reduction resistance (1-1.5mm) under-reduced M D B L exposure ( 2mm)
- Proximal clearance is adequate/ contact over-reduced M D B L - Gross under-reduction (
fully broken - Proximal clearance inadequate 1mm)
- Correct contour; line angles are definite but - Preparations lacks definition (conical) - Alternative preparation or
rounded; smooth walls. - Slight debris RCT needed
- No sharp cusps or line angles - Excessive debris
- Preparation is free of debris - Proximal contact not broken
- Axial walls rough with sharp
angles
Axial - Preparation allows the fabrication of a - Slightly excessive convergence (20- - Decided undercuts
Convergence restoration with optimal retention and 25) but resistance form maintained. - Excessive convergence
(Taper) & contour - Wall are parallel with no visual taper results in grossly tapered prep
Path of - Taper fully visual with (6-10 ) axial - Minor undercut(s) that is/are or lack of retention/ resistance
Insertion convergence manageable by lab ( 30)
- No undercut - Walls prepared with slight variance to - Walls prepared with extreme
- Path of insertion is parallel to the long axis path of insertion: M D F L variance to proper path of
of abutment teeth. insertion
- Final restoration will not draw.
- Major modification required.
Cervical - B: 1.2 mm shoulder - Shoulder: 1mm or 1.5-2 mm - Shallow shoulder (<1mm
Margin - L: 0.5 mm chamfer - Chamfer: shallow 0.3 or deep up to shoulder) or deep (>2mm)
- M, D: tapering from shoulder to chamfer 1mm - knife edge Chamfer
- Finish line shape and angle are - Margin continuous with minor (<0.3mm) or deep (>1.5mm)
appropriate, following gingival margin irregularity - Excessively rough or
- Cervical margin is smooth, continuous (no - Located supragingival < 0.5mm or 0.6 irregular, not allowing
steps) and well defined fabrication of a margin on the
- 1.0mm
- Margin optimally placed supragingivally restoration.
(0.5mm), defined, and identifiable - Located subgingival < 0.5mm - Located supragingival
- Unsupported enamel (lipping) 1.5mm
- Irregular thickness, slight roughness, - Located subgingival 0.5mm
+ 1 mm from ideal position - Excessive unsupported
enamel (lipping)
Seating - Seating groove is proper depth (1mm) - Seating groove is slightly deep, - Seating groove is grossly
Groove angulation (path of insertion- long axis shallow or improperly shaped. 1) deep (2mm)
of tooth) and shape. -Seating groove < 0.5mm from the 2) non-existent
- Seating groove 0.5 mm away from the finish line - Seating groove placed on the
finish line finish line or subgingival
Adjacent - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Teeth & - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
Tissue - Minor damage to gingival consistent restoration).
Damage with procedure. - Excessive damage to gingiva
Practical Exercise # 16
All Ceramic Crown Preparation (# 21)
Adjacent Teeth & - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Tissue Damage - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
- Minor damage to gingival consistent restoration).
with procedure. - Excessive damage to
gingiva
Practical Exercise # 17 (GRADED)
All Ceramic Crown Preparation (# 21)
Adjacent Teeth & - Adjacent teeth untouched - Minor damage to adjacent tooth - Excessive damage to
Tissue Damage - No damage to gingiva corrected by enameloplasty adjacent teeth (would need
- Minor damage to gingival consistent restoration).
with procedure. - Excessive damage to
gingiva
University of Sharjah
College of Dental Medicine
Dental Clinical Practice 4th year - Fixed Prosthodontics 2017/2018
First Semester Project Grade Attendance Professional Development Faculty Name &
Signature
(Present, Late, (Infection control, Instruments,
Absent) Professional conduct)
Week 4 Introduction
10.9.17 Occlusal assessment
(Graded)
Week 5 Full gold crown #46
17.9.17
Week 1 PFM # 11
21.1.18
Week 6 FPD # 35 37
25.2.18
Week 7 FPD # 35 37 (Graded)
4.3.18