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    Finish Line of The Preparation Is The End of Tooth Preparation

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    Najeeb Ullah
    The document discusses different types of finish lines for tooth preparations: 1. Supragingival or equigingival finish lines are preferred over subgingival lines for better periodontal health. 2. Common finish line types include feather edge, chisel edge, bevel, chamfer, shoulder, and modified shoulders. Each type has advantages and disadvantages related to preparation, adaptation, strength and esthetics. 3. An ideal finish line is easily prepared and identified, does not extend too far cervically, provides a clear margin for adaptation, and allows for sufficient restoration strength and bulk. It also conserves tooth structure and places margins in areas that are finishable, inspectable and cleanable.

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    Finish Line of The Preparation Is The End of Tooth Preparation

    Uploaded by

    Najeeb Ullah
    1K views36 pages
    The document discusses different types of finish lines for tooth preparations: 1. Supragingival or equigingival finish lines are preferred over subgingival lines for better periodontal health. 2. Common finish line types include feather edge, chisel edge, bevel, chamfer, shoulder, and modified shoulders. Each type has advantages and disadvantages related to preparation, adaptation, strength and esthetics. 3. An ideal finish line is easily prepared and identified, does not extend too far cervically, provides a clear margin for adaptation, and allows for sufficient restoration strength and bulk. It also conserves tooth structure and places margins in areas that are finishable, inspectable and cleanable.

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    The document discusses different types of finish lines for tooth preparations: 1. Supragingival or equigingival finish lines are preferred over subgingival lines for better periodontal health. 2. Common finish line types include feather edge, chisel edge, bevel, chamfer, shoulder, and modified shoulders. Each type has advantages and disadvantages related to preparation, adaptation, strength and esthetics. 3. An ideal finish line is easily prepared and identified, does not extend too far cervically, provides a clear margin for adaptation, and allows for sufficient restoration strength and bulk. It also conserves tooth structure and places margins in areas that are finishable, inspectable and cleanable.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    1K views36 pages

    Finish Line of The Preparation Is The End of Tooth Preparation

    Uploaded by

    Najeeb Ullah
    The document discusses different types of finish lines for tooth preparations: 1. Supragingival or equigingival finish lines are preferred over subgingival lines for better periodontal health. 2. Common finish line types include feather edge, chisel edge, bevel, chamfer, shoulder, and modified shoulders. Each type has advantages and disadvantages related to preparation, adaptation, strength and esthetics. 3. An ideal finish line is easily prepared and identified, does not extend too far cervically, provides a clear margin for adaptation, and allows for sufficient restoration strength and bulk. It also conserves tooth structure and places margins in areas that are finishable, inspectable and cleanable.

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    © All Rights Reserved
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    of 36

    Margin (Finish line) placement

     Finish
    line of the preparation is the end of tooth
    preparation.

    Finish Line

     Studieshave supported the use of supra-gingival


    or equi-gingival finish lines rather than sub-
    gingival finish line whenever possible to ensure
    periodontal health
     Supra-gingival finish line

    v Sub-gingival finish line


    Hanaa I. Sallam
    Advantages of supra-gingival margins:

    – Easily prepared
    – No soft tissue trauma
    – Easy impression
    – Easy finishing, easy cleaning
    – Easy evaluation of the
    preparation margins at the
    time of placement and at the
    call appointments
    1. Cervical caries , cervical erosions or
    restorations extending subgingivally.
    2. Proximal contact extended to the gingival
    crest
    3. Additional retention and /or resistance is
    needed
    4. For esthetics in anterior region
    5. Root sensitivity
    4
    Rasha Nabil Sami 19-May-19
     1-Cervical caries , erosion, abrasion or
    restoration.

    19-May-19 Hanaa I. Sallam


    Proximal contacts extending to the
    gingival crest.

    19-May-19 Hanaa I. Sallam


    To increase the occluso-gingival dimension for
    better retention and resistance .

    19-May-19 Hanaa I. Sallam


     For esthetics in anterior region

    19-May-19 Hanaa I. Sallam


     Root sensitivity which cannot be controlled by
    more conservative procedures (such as
    application of dentin bonding agents).

    19-May-19 Hanaa I. Sallam


     When a subgingival finish line is required, it has
    been suggested that extension to the epithelial
    attachment be avoided.

     The distance from the epithelial attachment to


    the crest of the alveolar bone has been described
    as the “Biologic Width”. It is normally about
    2mm wide, including the epithelial attachment
    and the connective tissue attachment.

     Ifthe margin of a restoration intrudes into this


    biologic width inflammation will result and
    osteoclastic activity is stimulated.
    19-May-19 Hanaa I. Sallam
    3- Margin Adaptation
     The presence of marginal discrepancies
    in the restoration exposes the luting
    agent to the oral environment
     The longevity of tooth could be
    compromised not only by caries but also
    by periodontal disease.
     Clinically acceptable marginal gap values of
    cast restorations have been reported in the
    literature to be up to 50-70μm
     A well-designed preparation has a smooth
    and even margin.
     Rough, irregular, or "stepped" junctions
    greatly increase the length of the margin and
    substantially reduce the adaptation of the
    restoration

    19-May-19 Hanaa I. Sallam


    A : Poor preparation design leading
    to increased margin length.
     C: rough, irregular margin will make
    the fabrication of an accurately fitted
    restoration almost impossible.
    4- Margin Geometry:

    .The configuration of the preparation finish


    line dictates the shape and bulk of
    restorative material in the margin of the
    restoration. It also affects both: marginal
    adaptation and degree of seating of the
    restoration.
    Guidelines for establishing a good
    finish line

    1. It should be easily prepared


    2- It should be easily identified in both
    impression and die

    3-It should not be overextended cervically


    4- It should provide a definite edge to which
    the wax pattern could be easily adapted
    and finished
    5- Should allow sufficient bulk of material to :

     Enable wax pattern handling without


    distortion
     Provide sufficient strength at the
    restoration margins
     Provide enough bulk for porcelain (in
    PFM) to enhance good esthetic.
    6- Allow conservation of tooth structure as
    possible.

    7- Ideally whenever possible the margins


    should be placed in areas where the
    dentist can finish and inspect them and
    the patient can clean them.
    Types of Gingival finish lines
    1-Feather- edge Finish line
    It is mainly indicated for
    cast metal crowns .
    Advantages:
    1. Less destruction of tooth

    tooth
    structure than is
    necessary for a shoulder
    or a chamfer
    2. Dose not leave a fragile
    lip of unsupported
    enamel
    Disadvantages:

    1. It is difficult to follow on both tooth


    and die (location of the margin is
    difficult to control )

    tooth
    2. Thin margins are difficult to wax and
    cast , thus being thickened by
    technicians lead to over-contoured
    restoration .
    3. The margin is weak
    2- Chisel edge margin

    It is mainly indicated for cast metal


    crowns .
    It is a variation of the feather edge

    tooth
    finish line and its is formed when
    there is a large angle between the
    axial surfaces and the unprepared
    tooth structure.
    Unfortunately, this margin is frequently associated
    with an excessively tapered preparation

    or one in which the axial reduction is not correctly


    aligned with the long axis of the tooth(tilted
    teeth)
    3-Bevel Finish Line

     This type is frequently indicated for


    cast metal restorations, specially if a
    ledge or shoulder already exists due
    to caries, cervical erosion or a
    previous restoration.

    tooth
     Its shape forms an obtuse angle
    with the unprepared axial tooth
    surface
    Objectives of beveling :

    1-Allows cast metal margin to be burnished against


    prepared tooth structure.

    2-Protect the unprepared tooth structure from


    chipping by removing the unsupported enamel.

    N.B. If no accessibility for burnishing, there is


    minimal advantage of this type of finish line
    4-Chamfer Finish Line
    ` It is mainly indicated for cast
    metal crowns .

    The instruments which made this


    FL. Is tapered stone with round

    tooth
    tip .
    The chamfer should never be
    prepared wider than half the tip
    of the diamond; otherwise, an
    unsupported lip of enamel could
    result.
    5- Shoulder Finish Line
    This type of finish line is
    usually recommended for the
    all-ceramic crowns and the
    facial part of metal-ceramic
    crowns particularly when the

    tooth
    porcelain margin technique is
    used.
     It is not used as a finish

    line for cast metal restorations.


    Advantages :

     Provides space for proper


    porcelain bulk thus enhancing
    resistance to occlusal forces and
    minimizes stresses which might
    lead to porcelain fracture.

    tooth
     Facilitates constructing healthy
    restorations of good contours and
    maximum esthetics
    Disadvantages:

     The preparation requires destruction


    of more tooth structure than any other
    finish line.
     Some claimed that its sharp 90ºdegree
    internal line angle would concentrate

    tooth
    stress in the tooth and increases its
    liability to coronal fracture.
    6-Rounded ( modified) Shoulder Finish Line

     It is a modified form
    of shoulder finish line
    characterized by a
    rounded internal angle
    (gingivo-axial).

    tooth
    It is indicated for
    All- ceramic crown preparation
    Advantages:

     Less stress concentration


     Some claimed that its
    preparation is less
    destructive
    7-Sloped Shoulder Finish Line

     It is a modification of the classic


    shoulder finish line being
    characterized by a 120º as an
    alternative to the 90º.

     It´s advantage reduce the


    possibility of leaving unsupported

    tooth
    enamel and still leaving sufficient
    metal thickness to allow for its
    thinning to a knife edge for good
    adaptation
    8-Shoulder with Bevel Finish Line

     This type is recommended for the


    facial surface of a metal-ceramic
    restoration in those situations where
    gingival esthetics are not critical and a
    shoulder is already present either
    because of destruction by caries or the
    presence of previous restorations

    tooth
     The beveling removes unsupported
    enamel and may allow finishing of the
    metal.
    4- Margin geometry

    19-May-19 36 Rasha Nabil Sami

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