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Anteriors

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TreatmentOp/onsforAnteriorCaries

  ART  IntraCoronalRestora/ons  FullCoverage– SSC,openfaceSSC,stripcrown,pre-veneeredSSC

  Extrac/on–withorwithoutprosthe/creplacement

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CavityDesignforIntraCoronalRestora/ons

OR

“WhyIntraCoronalRestora/onsDon’tWork”

•  Reten/onisalmosten/relyfrometchand

bond

•  Thicknessofenamelofaprimarytoothisapproximately½thatofapermanenttooth

•  Mostchildrenarebruxers

•  Flexureisaproblem

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WhyFullCoverage

•  Pa/entage,behaviour,coopera/on•  Moistureandhemorrhagecontrol

•  Highcariesrisk-rememberanteriorcariesisSECC

•  Cost•  Easeofplacement

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AdvantagesofPreVeneeredSSC

•  Goodesthe/cs•  Goodreten/on•  Moisturehemorrhagecontrolisnotcri/cal•  Minimalchair/me

•  Fullcoverageprotec/onofSSC

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DisadvantagesofPreVeneeredSSC

•  Increasedcost•  Moreaggressivetoothreduc/on

•  Metalvisiblefromlingual•  Chippingorfracture•  Colormatchmaybedifficult

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CaseSelec/on

•  Noanteriorcrossbites•  Noseverecrowding•  Someclinicalcrownmustremain•  Bestesthe/cswhenmul/plecrownsare

placed

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SizingofCrown

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FeatherEdgePrepara/on

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FeatherEdgePrepara/on

8/6/2019 Anterior Handout

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InterproximalReduc/on

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ShapingofCrown

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StudyofPediatricden/stsandwhattheyuseforfullcoverageof

anteriorteeth

•  Stripcrowns46%•  Preveneeredcrowns41%

•  UniversityofDetroitMercySchoolofDen/stry2008

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PrematureLossofAnteriorPrimaryTeeth

•  Spacelossisunlikely,solongastheprimarycaninesareeruptedinto

occlusion

•  Replacementifprimaryincisorsis

elec/veonlyandisonlyrecommended

forcosme/cs–notspacemaintenance