Operative dentistry aje qualtrough, jd satterthwaite la morrow, pa brunton
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Principles of Operative Dentistry.compressed
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Chapter 5 Shoulder The shoulder (or heavy chamfer/rounded shoulder) is the margin type necessary for ceramic restorations due to their brittleness and liability to fracture other than in compressive loads. The margin ensures that a relatively wide ledge provides support for the ceramic to resist occlusal forces and minimise tensile stresses that may lead to fracture of the ceramic. The shoulder should be produced to form a 90° angle to the external preparation margin. The sharp, 90° internal line angle classically associated with this margin concentrates stress in the tooth and sharp edges of ceramic may be rounded during firing, resulting in reduced accuracy of fit. Thus this internal angle should be rounded (Fig. 5.10), hence terms such as heavy chamfer (though this may lead to confusion) and rounded shoulder are used. The shoulder is generally not used for metal restorations as it will not provide the acute margin that, as described above, will minimise marginal gaps and allow the margin to be burnished. However, it has been suggested that the shoulder finish may, in fact, give less of a marginal gap than a feather edge despite the theoretical advantages of the ‘slip-joint’ 21 . This is primarily because of problems of expressing Fig. 5.10 Detail of shoulder margin. POOC05 02/18/2005 04:36PM Page 124 cement lute from inside the casting during seating, which is more difficult with increased speed of seating and an acute margin. A more horizontal margin will result in the marginal gap not closing until the casting is nearly fully seated. A casting made to fit a shoulder margin may therefore have better fit, but the shoulder preparation is more destructive than other margin types and should be avoided when possible. Chamfer A chamfer is a compromise between the feather and shoulder finish. The chamfered finishing line is that of choice for metal restorations. It provides an acute margin, which is desirable, yet allows for escape of the cement lute. It also results in a restoration that has adequate axial bulk to provide rigidity without the need to overcontour and without being overly destructive of tooth substance, as a chamfer is more conservative of tooth substance than is the shoulder, as less axial reduction is necessary. It also exhibits the least stress (the underlying cement will have less likelihood of failure) and is readily identified on the die. Download 0.95 Mb. Do'stlaringiz bilan baham: |
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