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بس بسيطه, الدكتور موسى مراشده رائع مع انو عجب علي بعيادة البروستو,اول شي المحاضرة بتجنن من األخر
البد من ذلك كونا طالب التكنو
التسجيل كان واضح الحمدهلل بس شكرا الك اخ اياس ! التسجيل كان جنبوا و ما قصرت وهللا
ييجي no need و قال اللي ما معو قلمquiz كيف ما معنا اقالم و عناDدخل الدكتور و صار يبهدل
! فسأل اياس طب دكتور و اللي ما معو محاي و براي شو يعمل؟ هاهاهاها مش هيك خفة الدم, المرة الجاي
و صوت االخ اياس و هو بغش مش طالع اال شوي و ياريتك بتغش صح ! يعني quiz بعدين بتذكروا اعطانا
(:.....انا بقلك جوابك غلط
ما تزعل منا بس حبينا نغير جوي بالبداية عشان هال بدنا نبلش المحاضرة بدها تركيز
2- local factors:
1. destruction of tooth structure, if u have badly broken
lower left 6 with class 2 or DO, MO, when u prepare
amalgam cavity with outline form, convenience form,
retention form, true? So, how you get retention in class 2?
From undercuts, u create undercuts in box in dovetail area
and these undercut can be created in one scenario if there
is enough tooth structure, if not you cant place amalgam so
u think with something else .
Other thing if u have simple class 2, direct class 2, u don’t
open the marginal ridge in such a case it is direct access so
place composite coz there is no direct load, so amount of
destruction guide u to the type of material u will be using .
(Direct Load is the load from biting)
2. esthetic
3. plaque control : much easier be controlled in simple
restoration than complex one
4. retention , if u don’t have enough retentive feature for
the cavity then amalgam cant be used
Is that clear !
In single tooth restoration we will talk about intra coronal
restoration which are
1. Simple restoration – amalgam, composite, cement-
2. inlay
3. onlay
then extra coronal restoration
intra coronal restoration is very essential coz u have to
understand how to judge the restoration type u want .
intra coronal restoration is the restoration which r
retained within confines of the tooth, and when I spoke
about this I spoke about simple restoration, fixed
prosthodontic when are inlays and onlay, now if u decide
to place intra coronal restoration, there are 2 factors u
think about 1- sufficient remaining tooth structure, 2- that
will provide you by retention, support, integrity .
if u want to place inlay u need sufficient tooth structure so
that when u place it the tooth in function wont split
lower 1st premolars are very narrow tooth bucco-lingual
and if u have MOD on it, and u want to create inlay u will
cross from mesial to occlusal to distal and the occlusal
part is very narrow, so if u create ur inlay, there will be
very narrow structure, bucculy and lingualy to ur
restoration, this narrow walls could fracture for this
reason, such kind of tooth is unlikely for MOD inlay, I
might think MOD inlay if I have molar, coz B-L width quit
big,
then if sufficient tooth structure it will lead me what to do?
What kind of restoration I have to design, this tooth
structure will provide me retention, support, integrity and
for the last time if you have huge class 2 amalgam, and u
cant create contour so u cant use amalgam coz matrix
band will squeeze it and u cant reform the morphology in
such case inlay, onlay not amalgam!
so tooth want be suitable for intra coronal restoration if it
cant provide u retention, support, integrity .
اللي يستحمل الحشوة و ماtooth structure باختصار اذا كان السن كتير كتير مسوس و مو باقي عن
. رح ادور على شيء يغطيه كلهcracks or root fracture ينكسر او بصير فيو
1- plastic restoration
2- cement retained restoration
and if they are cement retained restoration they are fixed
prosthodontics. and they r:
1- metal inlay its class 2, MOD ok
onlay is like inlay but with occlusal coverage to protect
cusps
and for inlay there should be sufficient tooth structure and
in case lower premolars ,I can do MO, DO, inlay not MOD
inlay coz there is no tooth structure , I can do MOD onlay
on lower premolar, coz it will protect lingual+ buccal
walls and if it can not, we will go for crowns
2. ceramic inlay
3. MOD onlay, the message u should pick it from this
lecture is the onlay is preferred for metals, because u need
tooth preparation which is usually achievable, but MOD
ceramic onlay you need to cut too much occlusaly
The thickness of the cut 2-2.5 mm for ceramic onlay and
this is too much destructive .
MOD onlay with metal needs 1-1.5 mm cuts so more
conservative ,
In other words I can use MOD onlay for molars because
they are away from the patient smile, and here the tricks in
Qs come.
Can u use MOD onlay on posterior molar? yes
Is MOD onlay indicated for upper premolar? no
Neither MOD onlay with metal coz its unaesthetic, nor
MOD ceramic coz its destructive so…..crowns
Ceramic onlay are too destructive when prepared so not
recommended.
Crowns :
Crowns there are anterior crowns and posterior crowns
Anterior one:
Could be classified according to the material u will use,
fabricate with, or by design
According to material :
1- metal ceramic crowns MCC or called PFM porcalin
fused metal
2- all ceramic crowns
3- others
according to design :
either 1. full crown or 2. partial crown were one of the
surfaces is not covered
Posterior crowns:
According to material:
1- full mouth crowns
2- MCC
3- All ceramic crown
4- Other
And the first one is on the top of use
According to design :
1- full 2- partial ok
Bridges:
retainer::
1- full covarge crown which is the best
2- 3\4 crown is not recommended
3- post retained crown
4- onlays
5- inlays
this pic on slide 26 is for implants joined by bridge ok
then the dr read the slides ok,
and he said these r guide lines not for Qs in the exam ok
thanks God
finish
Dina sameir
kamal
Special thanks for eman el ras who gave me her lap top to
print it in the sakn !
Meso o madoo7 as always
Gada, amane 3fane, dalia, sukainah, lina,
faroooooooooooo7 , shaheeed, fatoooom,
ferma, nissren, dana, arwa, dema a7la jeran
lamia, du3a2, maimaneh, aseel,
ronze, sheren
esra2 3bd el gane, jameleh,razan
the best best wishes for NOOR 3BD EL HANE for her
engagement
32bal el kol yarab