Common Errors-1

Common errors of tooth preparation
In fixed restoration
Introduction
The fixed prosthodontics have the ability to transform an

unattractive, unhealthy dentition with poor function into a
comfortable, healthy occlusion and enhancing esthetics.
And that won’t literally happen if the restoration was hardly
suitable to the patient. So the dentist should take careful while
the preparing the tooth to not make many errors.
In general while tooth preparation there are many mistakes
that can be made either by dentist or in dental laboratories.
The frequently errors that face the dentist during the
preparation of teeth can be observed in dental lab after
pouring the model.
These errors lead to inadequate reduction which force the
technician to fabricate inadequate restoration.
This topic will have the frequent errors that may happen to
the fixed restoration:
Flat occlusal surface:
- A basic inclined plane pattern of the occlusal surface duplicated to
produce adequate clearance without over shortening the
preparation.
- The flat occlusal surface may over shorten the preparation
- The result: the metal in the developmental groove will be thin,
with a risk of perforation.
Circumferential regularity
- Result :
 decreased tipping and twisting resistance
 less retention and resistance
- Solution :
 the tooth should be uniformly reduced following the

anatomical structure
Inadequate proximal reduction:

- While preparing the proximal surfaces, over reduction might
happen.
- Result: insufficient embrasure space which cause pressure of
restoration on dental papilla.
It can also cause divergent proximal walls.
- Solution: taper wall more.

Functional cusp bevel not prepared:
- The functional cusp bevel is done using round end tapered
diamond and no.171 bur. Depth orientation grooves are placed
mandibular in the facial incline of the facial cusp and maxillary in
the palatal incline of the palatal cusp. The bevel should be parallel
the inward facing inclines of the cusps of the opposing tooth, at a
depth of 1,5 mm usually forming a 45 degree angle with the axial
wall.
- If it wasn’t prepared properly, the result:
 The crown is waxed and cast to normal contour the casting
will be extremely thin in the area overlying the junction
between the occlusal and axial reduction.
 Risk of perforation
Excessive taper on the tooth preparation

- Taper must be 5:10 degree of inclination to prevent undercuts, to
visualize preparation walls, to permit complete seating of the
restoration during cementation, and to compensate for
inaccuracies in the fabrication process.
So if the taper increased,
- Result: less retention and less resistance of restoration.
- Solution:
 Adding grooves.
 Prepare a band of few mms of tooth structure with
restricted 6 degree taper.
Reduction in one plane:

- Result:
 pulp exposure
 less retention and resistance
 less structure durability
- Solution:
 two planes reduction (cervical – incisal)
 6 degree taper
Inadequate reduction of axial wall:
- Adequate axial reduction creates space for a strong bulk of metal
within the normal contours of the tooth, the inadequate
reduction can result in thin, weak crown walls
- Result: plaque accumulation and gingival inflammation
- Solution: the part from the base of gingival sulcus till height of
contour must have a straight profile to facilitate the access of
maintenance of plaque control by patient.
Sharp line angles Problem:

- During tooth preparation the line angles should be rounded and
smooth using fine diamond bur to reduce the stress that
develops when occlusal forces are applied to the restoration. If
the line angles weren’t smooth,
- Result :-
 Premature stress fracture occurring at the seating appointment.
 Fracture can happen sometime after cementation which is worse
than premature.
- Solution: - Round all sharp line angles after the rest of the
preparation is completed.
Preparing finish line supragingivally in high lip line patient:

- result: supra gingival margin in a patient with high lip line reduces
the esthetics of the patient
- Solution: subgingival finish line will be more esthetic
Inadequate reduction of finish line:
- result:-
 bad impression of margins.
 bad marginal integrity of restoration.
- Solution:-
 If the finish line too heavy-
walls are over-reduced, Create
a bevel to finish line
 If finish line are slightly-reduced, increase axial reduction.
Beveled or feather margins:

- Porcelain is very hard to fabricate and finish over any beveled or
feather margins.
- It has a higher chance for fracturing during seating or at some
point after cementation.
- Solution: for optimal strength and fit with any all-ceramic
restoration, use only a shoulder preparation.
References:
 PPT - Tooth preparation PowerPoint Presentation, free
download - ID:5775028 (slideserve.com)
 prin of tooth prep (slideshare.net)
 Posterior tooth preparations /certified fixed orthodontic
courses by … (slideshare.net)
 https://prezi.com/7og1ed04rtcq/common-mistakes-of-
preparation-and-how-to-overcome-them/
 https://www.slideserve.com/tovi/common-errors-of-tooth-
preparation
Presented by:
shahd kamel Mohamed 200030890
Mona Rabie Elsayed 200028395
Menna Allah Khaled 200015995
Sama Nasser 86852
Sara Ibrahim 86858
Hana Mohamed 87011
Maryam Salah El-Din 87119
Toka Khaled fouad 87120
Shams Mohamed 87146

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Common errors of tooth preparation

The fixed prosthodontics have the ability to transform an

 the tooth should be uniformly reduced following the

Inadequate proximal reduction:

- Solution: taper wall more.

Excessive taper on the tooth preparation

Reduction in one plane:

Sharp line angles Problem:

Preparing finish line supragingivally in high lip line patient:

Inadequate reduction of finish line:

 If finish line are slightly-reduced, increase axial reduction.

Beveled or feather margins:

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