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INTRODUCTION
      &                          Extra-coronal
 TERMINOLOGY                      restorations


               Part I: General                      Partial
               considerations                     coverage
                                                 restorations
 Partial   coverage restorations
  as we said before, these are restorations
 that used to restore just a portion of the
 clinical crown.
  And are classified according to retention,
 as:
 1. by grooves : ¾, R3/4, ½, 7/8
     crowns (= restorations).
 2. by pins (pin-ledge).
 3. Modified type (grooves + pins).
¾   crown :
  is a partial coverage restoration that restores
the occlusal surface(or incisal edge), and three
axial surface of the clinical crown (the facial or
buccal surface is not included).

  this type is indicated for upper anterior and
posterior teeth.
  and it can be prepared on a lower posterior
teeth too with little difference in the
preparation.
    Reversed ¾ crown :
       is a partial coverage restoration that
    restores the occlusal surface(or incisal
    edge), and three axial surface of the
    clinical crown (the lingual surface is not
    included).
       this type is indicated for lower
    posterior teeth. And it is useful for server
    lingual indications.
    Mesial ½ crown :
       is a partial coverage restoration
    that restores the occlusal surface(or
    incisal edge), the mesial surface and
    a portion of the facial or lingual
    surfaces.
       this type is indicated for mesially tilted
    tooth.
 7/8 crown :
    is a partial coverage restoration that
 restores the all surfaces of the clinical
 crown except the mesiobuccal cusp
 remains intact.
     this type used only for the maxillary
 first molar teeth.
 Pin-ledge
   is a technique that employs parallel long
 pins prepared in the lingual or palatal surface
 of the clinical crown,
 in order to increase retention
 of the restoration.
These restorations used the
both grooves and pins to
improve retention.
Partial coverage
  restorations     •Indications

  the partial coverage restorations are used:
 1. for both anterior and posterior teeth.
 2. when the coronal portion is intact.
 3. when there is a good crown length.
 4. as a retainer for FPD (short edentulous
   span).
 5. when there is a minimum occlusal stress.
Partial coverage   • Contraindications
  restorations


  the partial coverage restorations are
contraindicated :
1. when maximum retention is required.
2. in case of a thin or short clinical crown.
3. for patient with high caries index.
4. when there is active periodontal disease.
5. in case of mal formed tooth, e.g. Bell
shaped canine.
Partial coverage   • Advantages
  restorations

  1. preservation of tooth structure.
  2. more esthetic than full coverage
     restorations.
  3. the finish line is easy to place.
  4. less periodontal irritation due to the
     less contact with the tissues.
  5. pulp damaged is reduced.
Partial coverage   • Disadvantages
  restorations


1. less retentive than the full coverage.
2. difficultly of placing the grooves and
   pins properly.
3. in some restorations, the metal is
  displayed and this is not acceptable by
 the patient.
The ¾ crown is :
     a. a restoration that restores the all
      surfaces of the clinical crown except the
      mesiobuccal cusp remains intact.
     b. a technique that employs parallel long
       pins prepared in the lingual or palatal
       surface of the clinical crown.
     c. a restoration that restores the occlusal surface and
       three axial surface of the clinical crown without
       including the buccal surface in the preparation.

* In which cases, the partial coverage restorations
 are contraindicated?

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Fixed prosthodontics lesson 4

  • 1. INTRODUCTION & Extra-coronal TERMINOLOGY restorations Part I: General Partial considerations coverage restorations
  • 2.  Partial coverage restorations as we said before, these are restorations that used to restore just a portion of the clinical crown. And are classified according to retention, as: 1. by grooves : ¾, R3/4, ½, 7/8 crowns (= restorations). 2. by pins (pin-ledge). 3. Modified type (grooves + pins).
  • 3. ¾ crown : is a partial coverage restoration that restores the occlusal surface(or incisal edge), and three axial surface of the clinical crown (the facial or buccal surface is not included). this type is indicated for upper anterior and posterior teeth. and it can be prepared on a lower posterior teeth too with little difference in the preparation.
  • 4. Reversed ¾ crown : is a partial coverage restoration that restores the occlusal surface(or incisal edge), and three axial surface of the clinical crown (the lingual surface is not included). this type is indicated for lower posterior teeth. And it is useful for server lingual indications.
  • 5. Mesial ½ crown : is a partial coverage restoration that restores the occlusal surface(or incisal edge), the mesial surface and a portion of the facial or lingual surfaces. this type is indicated for mesially tilted tooth.
  • 6.  7/8 crown : is a partial coverage restoration that restores the all surfaces of the clinical crown except the mesiobuccal cusp remains intact. this type used only for the maxillary first molar teeth.
  • 7.  Pin-ledge is a technique that employs parallel long pins prepared in the lingual or palatal surface of the clinical crown, in order to increase retention of the restoration.
  • 8. These restorations used the both grooves and pins to improve retention.
  • 9. Partial coverage restorations •Indications the partial coverage restorations are used: 1. for both anterior and posterior teeth. 2. when the coronal portion is intact. 3. when there is a good crown length. 4. as a retainer for FPD (short edentulous span). 5. when there is a minimum occlusal stress.
  • 10. Partial coverage • Contraindications restorations the partial coverage restorations are contraindicated : 1. when maximum retention is required. 2. in case of a thin or short clinical crown. 3. for patient with high caries index. 4. when there is active periodontal disease. 5. in case of mal formed tooth, e.g. Bell shaped canine.
  • 11. Partial coverage • Advantages restorations 1. preservation of tooth structure. 2. more esthetic than full coverage restorations. 3. the finish line is easy to place. 4. less periodontal irritation due to the less contact with the tissues. 5. pulp damaged is reduced.
  • 12. Partial coverage • Disadvantages restorations 1. less retentive than the full coverage. 2. difficultly of placing the grooves and pins properly. 3. in some restorations, the metal is displayed and this is not acceptable by the patient.
  • 13. The ¾ crown is : a. a restoration that restores the all surfaces of the clinical crown except the mesiobuccal cusp remains intact. b. a technique that employs parallel long pins prepared in the lingual or palatal surface of the clinical crown. c. a restoration that restores the occlusal surface and three axial surface of the clinical crown without including the buccal surface in the preparation. * In which cases, the partial coverage restorations are contraindicated?