PARTIAL VENEERED

RESTORATION

Resource faculties:
Prof. Dr. Pramita Suwal
Dr. Prakash Kumar Parajuli Presented By:
Dr. Aarati Sharma Mohammad Afroj
Dr. Indra Limbu 802
Dr. Bishal Babu Basnet
Dr. Meena Mishra
 CONTENTS:
 INTRODUCTION
 ADVANTAGES AND DISADVANTAGES
 INDICATIONS AND CONTRAINDICATIONS
 PARTIAL VENEER CROWN FOR PSTERIOR TEETH:
 THREE-QUARTER CROWN
 MODIFIED THREE-QUARTER CROWN
 SEVEN-EIGHTS CROWN
 PARTIAL VENEER CROWN FOR ANTERIOR TEETH:
 THREE-QUARTER CROWN
 PINLEDGES
 CONCLUSION
 INTRODUCTION:

Definition: A restoration that restores all but one coronal

surface of a tooth or dental implant abutment, usually not
covering the facial surface (GPT8).
 Itcan also be referred to as a partial-coverage
restoration.

 Commonly buccal/facial surface is left intact for

better aesthetics.

 Itcan be used as a single-unit restoration or as a retainer

for fixed partial denture.
 It is called three-quarter crown as traditionally it was
used in anterior teeth and it involved preparing three
out of four surfaces and incisal edge was not considered.

 In the posterior teeth it should be called four-fifth

crown as it involves preparing a definite occlusal
surface
 ADVANTAGES:

 Conservation of tooth structure.

 Margins are accessible by the patient to maintain and
operator to finish.
 Better periodontal response as there is limited contact
between the restoration and gingiva.
 Cementation is easy as there is open margin for the excess
cement to escape.
 Seating of the restoration can be verified.
 Pulp testing can be performed athrough the unrestored
portion.
 DISADVANTAGES:

 Lesser retention as compared to full veneers

 There can be some display of metal and it requires high

skill to hide the same.

 May not have adequate rigidity as retainer for a fixed

prosthesis.

 Tooth preparation more complicated

 INDICATIONS:

 to restore posterior teeth that have lost moderate

amounts of tooth structure provided the buccal wall is
intact and well supported by sound tooth structure.
 as retainers for short span FDP or wherever restoration
or alteration of the occlusal surface is needed.
 Inanterior region they cab be used as retainers to
reestablish anterior guidance and can be used to splint
teeth.
 Forteeth with sufficient bulk because they can
accommodate the necessary retentive features.
 CONTRAINDICATIONS:

 Teeth that have a short clinical crown because

retention may not be adequate.
 Contraindicated as retainers for long-span FDPs.
 Endodontically treated teeth (especially anterior teeth)
because insufficient tooth structure remains for the
retentive features.
 In dentitions with active caries or periodontal disease
 Teeth that are proximally bulbous.
 In poorly aligned teeth
 ARMAMENTARIUM REQUIRED:
 The necessary instruments for a partial veneer
crown preparation include the following:

 Round-ended tapered diamond bur (regular or coarse

grit)
 Football-shaped or wheel-shaped diamond bur
 Tapered and straight tungsten carbide fissure burs
 Small, round tungsten carbide bur
 Small-diameter twist drill
 Inverted-cone tungsten carbide bur
 Finishing stones
 Mirror
 Explorer and periodontal probe
 PARTIAL VENEER CROWN
FOR PSTERIOR TEETH:

A. THREE-QUARTER CROWN:The steps includes

1) Occlusal reduction:
 The depth orientation cuts are placed on the occlusal
surface with round-ended tapering diamond bur
 The depth should be 1 mm on non-functional cusp and
1.5mm on functional cusp
 The remaining tooth structure between the depth cuts
is then removed to complete the occlusal reduction
2) Lingual reduction:
 Depth orientation grooves are placed in the
centre of the lingual surface and in the
linguoproximal line angles with round-
endtapering diamond.
 It should be parallel to long axis of the tooth.
 The remaining tooth structure is removed and
preparation is carried into the proximal
embrasure producing a chamfer finish line
3) Proximal reduction:
 The proximal contacts are first broken
using a thin tapering diamond in a vertical
sawing motion.
 The round-end tapering diamond is used to
then prepare the surface.
 The gingivofacial angle of the preparation
should not be underextended as this can
cause failure of restoration.
4) Proximal groove:
 They are placed mesially and distally in the
facial half of the crown,parallel to the long axis
of the tooth.
 It should be 0.3–0.5 mm deep and should
terminate cervically at the beginning of chamfer.
 Facio-lingual width should be 1 mm.
 They are designed to create a definite lingual
wall that resists lingual displacement.
5) Occlusal offset:
 It is an ‘inverted V-shaped’ ledge, 1 mm wide,
placed on the lingual incline of facial cusp.
 Joins the two proximal grooves and lies at a
uniform distance from finish line labially.
 It is prepared using a flat-end tapering fissure
bur
 It increases the resistance form by providing
bulk which prevents distortion of restoration
(structural durability).
6) Buccal bevel:
A 0.5 mm bevel is placed on the bucco-occlusal
finish line perpendicular to the path of
insertion.
 It is prepared using a flame-shaped diamond
and tapered fissure bur.
 It extends over the mesial and distal corners
and blends into the proximal flares.
B. Maxillary Molar Three-quarter Crown:
 The principles used in a premolar preparation also apply for
a maxillary molar.
 However, some additional leeway may exist for groove
placement because tooth structure on molars has
comparatively more bulk.
 the mesioproximal flare can sometimes be extended
slightly onto the buccal surface without affecting esthetics.
C.Mandibular Premolar Modified ThreequarterCrown:
 Mandibularpartial veneer preparations are made more
often on premolars than on molars.
 Theydiffer from maxillary molar three-quarter crown
preparations in two respects:
(1) Additional retention is required because
of the shorter crown length of mandibular teeth.
(2) The axial surface that is not prepared
(the buccal aspect) includes the functional cusp
D.SEVEN-EIGHTS CROWN:
 All surfaces except half of buccal surface (usually mesio-
buccal cusp)are covered by the restoration
 It is usually used in maxillary molars but can also be
employed in mandibular molars and premolars.
 It is indicated when the disto-buccal cusp or distal aspect
of buccal surface must be covered due to the presence of
any restoration, caries, decalcification or fracture.
 It is also aesthetically acceptable as intact mesio-buccal
cusp hides the disto- buccal cusp.
 It has much better retention than a three-fourth crown
and is usedinstead of the three-fourth crown as a
retainer for fixed partialdenture when short clinical
crown height and when span exceeds one pontic.
 The two grooves are placed – one in the centre of facial
surface andother in the bucco-proximal line angle
mesially, and they are joinedby an occlusal offset
 PARTIAL VENEER CROWN
FOR ANTERIOR TEETH:

A.THREE-QUARTER CROWN:(Maxillary Canine)

 The step by step procedure includes:
1) Incisal reduction:
Depth orientation cuts are made on the incisal edge
barely breaking through the facio-incisal line angle.
The depth of reduction is 0.7mm(1mm) at the linguo-
incisal junction
2)Lingual reduction:
 Depth cuts like pot holes are placed on the
lingual fossa with a round bur which has a
diameter of 1 mm. The entire bur is sunk in
 The remaining tooth structure is removed with
a wheel diamond or a football diamond bur
 Preparation must follow the anatomic planes
incisocervically
3) Proximal reduction:
 A long thin tapering diamond bur is used in a vertical
sawing motion to create space for the proximal
reduction up to the contact point.
 The round-end tapering diamond is then used to
prepare the surface producing a chamfer finish line
4) Proximal groove:
 It should be 0.3–0.5 mm deep and should terminate
cervically at the beginning of the chamfer.
 They are placed mesially and distally in the facial half of
the crown, parallel to the path of insertion.
 Facio-lingual width should be 1 mm.
5)Facial flare of proximal groove:
 The facial surface of the groove is flared (prepared in
a flat plane) to meet the labial surface of the tooth
 Flaring is done with a flame-shaped diamond using
short, crisp strokes in an outward direction and
finished with a bur of similar shape.
6)Incisal off-set:
 It is also referred to as incisal groove.
 It is an ‘inverted V-shaped’ ledge,1 mm wide, placed
on the lingual incline of facial cusp. Joins the two
proximal grooves and lies at a uniform distance from
finish line labially.
 It is prepared using a flat-end tapering fissure bur
6)Incisal bevel:
 A 0.5 mm bevel is placed on the bucco-occlusal finish line
perpendicular to the path of insertion on mesial incline.
 It is prepared using a flame-shaped diamond bur
 It extends over the mesial and distal corners and blends
into the proximal flares.
B.Pin-modified anterior three-fourth crown
(Pinledge Preparation):
 Pinledge is a partial veneer retainer preparation
incorporating pinholes to provide retention (GPT8).

Advantages :
 Less tooth structure is prepared, hence more
conservative.
 Optimal periodontal response as finish line is
supragingival.
 Optimal aesthetics.
Disadvantages:
 Less resistance to distortion.
 Tooth preparation is complex, needs greater than
average skill and care.
 Limited application.
Indications:
 Unrestored anterior teeth with low caries activity.
 Retainers for short-span fixed partial dentures.
 Splinting of periodontally compromised teeth.
Contraindications:
 Poor oral hygiene and high caries rate.
 Young adults with large pulp chambers.
 Nonvital teeth.
 Restorations demanding high retention like long-span
FPDs.
 Crown exhibits abnormal form or is thin labiolingually
 Steps in preparation:
1) Lingual reduction:
A 1.4 mm diameter round bur is sunk to half its depth
to create depth orientation grooves and the remaining
tooth structure between the grooves is gently removed
using Small wheel diamond bur.
 Then lingual incisal bevel is placed parallel to the
unprepared incisal surface with an approximate width
of 1.5 mm.
2) Ledges:
 Twoledges 0.3-0.5mm deep are prepared across the
reduced lingual surface–incisally and cervically which
extend from one proximal margin to the other.
 Theledges are prepared parallel to the incisal edge and
to each other.
 The ledges are prepared using a flat-end tapering fissure
bur.
3) Indentations:
 Three indentations are placed with flat-end tapering
fissure bur:–two located on incisal ledge and one on
cervical ledge.
 Placed 0.5–1mm medial to the lingual outline form.
4) Pinhole placement:
 Thepilot hole is prepared by a 0.6 mm twist drill to a
depth of 1 mm.
 Thepinhole preparation is completed with a flat-end
tapered fissure bur with a tip diameter of 0.6 mm
 Thena 1mm diameter round bur is used to
‘countersink’ or bevel the junction between the
pinhole and ledge.
 CONCLUSION:
 Principles and biomechanical preparations of various
partial veneer crowns were discussed.
 Although the retention and resistance of these crowns
are less, their conservative preparation make them
restoration of choice wherever possible .
 Addition of grooves, boxes, pins inreases the resistance
, yet it remains less than that of a full crown .
A thorough clinical and radiographic diagnosis and
treatment planning is essential for long term success of
this restoration
 REFERENCES:

CONTEMPORARY FIXED PROSTHODONTICS:STEPHEN F. ROSENSTIEL,

MARTIN F. LAND AND JUNHEI FUJIMOTO, FIFTH EDITION

TEXTBOOK OF PROSTHODONTICS:DEEPAK NALLASWAMY VEERAIYAN,

SECOND EDITION

TEXTBOOK OF PROSTHODONTICS: V RANGARAJAN, TV

PADMANABHAN, SECOND EDITION