Documente Academic
Documente Profesional
Documente Cultură
Amit Sadhwani
Contents
Introduction
Definitions
Guidelines for margin preparation
Types of finish lines for full veneer
crowns
Summary of types of margins
Criteria for selection
Conclusion
References
Introduction
Charles Henry Land- Porcelain Jacket
crowns, as early as 1880s.
Biologic,
Mechanical,
Esthetic, and
Psychological advantages
of preserving coronal tooth structure were
first presented.
Specific details later presented by Spalding
and Land in 1904. The shoulder finish line.
Definitions: GPT -5
Margin:
The outer edge of a crown,
inlay, onlay, or other
restoration.
The boundary surface of a
tooth preparation and/or
restoration is termed the finish
line or finish curve.
The terminal portion of the
prepared tooth.
Peripheral extension of a tooth
preparation.
BIOLOGICAL
Considerations
AESTHETIC
Considerations
MECHANICAL
Considerations
i.
Axial Reduction
ii.
Margin Placement
Margin Geometry
v.
Margin Designs
Shillingberg
Marginal Integrity: To prepare a finish
line to accommodate a robust margin
with close adaptation to minimize micro
leakage
Preservation of periodontium: To shape
the preparation such that the crown is
not over contoured and its margin is
accessible for optimal oral hygiene.
Supragingival margin
Easier to prepare
accurately without trauma
to the soft tissues.
Usually situated on hard
enamel.
They can be easily
finished.
They are more easily kept
clean.
Impressions are more
easily made with soft tissue
damage.
Restorations can be easily
evaluated on recall
appointment.
Subgingival margin
FEATHER-EDGE/ SHOULDERLESS/
KNIFE EDGE
ADVANTAGES
DISADVANTAGES
BEVEL
ADVANTAGES
DISADVANTAGES
In cases of gingival
margins beveling
would lead to subgingival extension of
the preparation or
placement of the
margin on dentin
rather than on
enamel.
CHAMFER
n.
ADVANTAGES
DISADVANTAGES
ADVANTAGES
DISADVANTAGES
An acute angle is
likely to chip.
Placement of
margin deep into
the gingival sulcus.
It is less
conservative of
tooth structure.
DISADVANTAGES
Less preferred to
shoulder or slopedshoulder for biologic
and esthetic reasons.
SLOPED SHOULDER
Summary of margins
Shoulder
Shoulder bevel
Shoulder
design with a
porcelain labial
margin.