Inlay Preparation Techniques for Ceromers
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ScribdTranslationsInlay Preparation Techniques for Ceromers
Translated by
ScribdTranslationsCruz Hernandez Martha Guadalupe
Delgado Suarez Keila Jovana '; :4 Estrada
Gayosso Luis Carlos
*■••••••
THEN Garcia Gruz Karina Adai
• :: * • • • • • : : :
EA
Preparation of
inlays for class 1 in
metals and
rainstitutecom
Cazarez Garcia Braulio
ceromers Cortes Flores Julio Andre
Cota Perez Ayslin Arleth
Group 252
INLAYS inlay
Its objective is to repair posterior
teeth that have mild to moderate
cavities, and consists of that inlay
that does not cover any of the
dental cusps.
INDICATIONS OF THE CONTRAINDICATIONS OF
INLAYS INLAYS THE INCRUSTATIONS
INLAYS
Caries lesions affecting more than 1/3
of the intercuspal distance. Small injuries, there are other
alternatives.
When the coronary remnant is scarce
Dental fractures that (it is better to make a crown).
• Perfect margins
Specifications • Do not affect the periodontium
During cavity preparation for a gold or
other alloy inlay, it is advisable to follow a
During dental preparation for inlays or predetermined work sequence with
onlays, four requirements must be met: precisely selected rotary instruments.
• Conservation of tooth structure Tooth preparation is carried out through the
• Preparation with retentive morphology following steps:
• Carving of the occlusal face
• Isthmus carving
• shoulder carving
• Knife edge carving
• final finish
Alginate preparation
• Depending on the brand of alginate, the manufacturer specifies
different quantities when making the mixture.
• We deposit the powder first and then add the mixture with the
water.
• The correct way to spatula it is on the walls, vigorously, until we
have a soft dough.
• The appropriate consistency is that the alginate is not too liquid or
else it may make the patient gag.
• We load the bucket with the mixture, without overloading the back part so that it
does not go down the patient's throat.
Bottom side printing.
Next we introduce the tray into the patient's mouth from the side and then we
position it and lower it, we remove the patient's lips, so that he can copy us properly.
•
Waiting a few minutes until it sets.
To take the impression, the first thing we must do is break the vacuum chamber and
take out the impression.
Once removed, it is washed with cold water and we must disinfect with sodium
hypochlorite or iodophors and we now have the impression of the lower part.
Upper side printing
• We load the spoon with alginate,
remembering not to overfill the back.
• Next, we introduce the spoon from the
side, positioning it from back to front and
removing the patient's lip.
• We hold it and remind the patient to
breathe through the nose.
• To remove it, we break the vacuum
chamber and remove the impression.
IMPRESSION TAKING WITH ADDITIONAL SILICONE
There are several types of printing techniques, but printing will be explained in two intentions
below:
1. We measure and check the size of the spoon.
2. Mix two equal parts of base and catalyst until you get a uniform color.
3. We apply the silicone in the form of a strip across the width of the spoon.
4. We place the spoon in our mouth and wait for the heavy silicone to
set completely.
5. Once we have finished taking the impression with heavy silicone,
we place the fluid silicone in the space we have created in the
putty. We add fluid silicone directly to the occlusal part and return it
to the mouth.
Milling cutters used
For cavity preparation: Mainly for the removal of cavities quickly and
safely, ensuring subsequent filling of the permanent support through
precise formation. For this procedure, the following shapes of burs are
used: ball and cylindrical with straight and rounded tips.
Preparation for fillings and inlay/onlay:
In this case, the highest precision is essential in all steps of the
process. The type of strawberry used on this occasion will be:
cylindrical and conical
If you have a previous restoration
(like amalgam) is removed and the
cavities that may have leaked.
INLAYS inlay
The occlusal surface must be prepared to
form a cavosuperficial margin on healthy
enamel. The thickness of healthy enamel
can vary but should be at least 1mm.
Strawberries
Cylindrical and conical
0
Opening of
the
cavity
• Mill 170-169
• Make the initial cut in the furrow
central.
• The opening must have a depth of
1.5-2 mm (to offer adequate thickness for
the inlay)
• an angulation of 6-10 degrees
Design of the
cavity
The design must extend
covering only the
decayed tissue
Straighten the turbine to avoid
the invasion of the ridges
marginal
Follow the extent of the carving
through the central groove to the
other
marginal ridge or ridge
transverse
The isthmus must have a width
approximated to 1mm.
• Flatten the soil with a 957 end
milling cutter
• The surfaces must be smooth
and with rounded angles.
Occlusal
bevel
Diamond milling cutter and carbide flame
milling cutter
15 to 20 degree bevel with flame
diamond burr
Finish the occlusal bevel with the flame-
shaped carbide bur. The internal angles
are rounded
Finally, models are made to
send to the laboratory and thus perform the
incrustation.
An impression is made with silicone
condensation to make the
provisional and do not leave the cavity
protection
without
Selection of
color
Vitapan classical colorimeter
16 shades
• Tone A: Reddish-brown/brown
A1, A2, A3, A3.5, A4
• Tone B: Red-yellow
B1, B2, B3, B4
1. Gray Tone
C1, C2, C3, C4
• Tone D: Reddish gray
D2, D3, D4 ■':: :::::
TIPS for color selection
Daylight 5500-5600 K, Natural light, identify light sources.
Shade taking (shade), the shade guide is compared with the middle third
1. of the tooth.
Avoid visual fatigue (5-7 sec.)
2. Chroma saturation (intensity).
Taking value (brightness or clarity) Distance not less
3. than 60 cm to avoid the shine produced by saliva,
4. extending throughout the sector being evaluated.
5. You can take a black and white photo.
Provisional
Provisionals are prostheses that are used for short periods, their function is to
provide a chewing surface, protect dental and periodontal tissues such as
dentin and dental nerve, as well as the set of tissues that surrounds the dental
organ (gum, bone and ligament). periodontal).
A temporary prosthesis must protect against physical, chemical and
heat that dentobacteria can generate. food, liquids, air and plaque
Temporary Bis Acrylate resin Temporary acrylic
Provisional
• Dental provisionals must retain the same dimensions that the teeth occupied
before being carved.
• Dental temporaries must maintain the position of the gingival tissues through
appropriate adaptation and contouring.
• A dental temporary must adapt appropriately to the margins of the
preparation
Temporary printing with Protemp 4
• Take an impression before starting the preparation of the inlay or crown, with ''heavy''
material (polyvinisiloxane) to use as a matrix for subsequent preparation.
• Once the impression is obtained, the Protemp is added to the space in which it is to
be made provisionally. It is important that you do not spend much time mixing the
material and placing it in your mouth.
• The material should be left in the mouth for around 2 to 3 minutes for proper polishing
performance of the material.
• The material is removed from the spoon and excess is removed for later cementation.
• A temporary cement can be used to cement the temporary
On a second visit
The previously placed temporary filling
is removed, and the fit and color are
checked.
If everything is correct, we proceed to
cementing the inlays and subsequent
occlusal adjustment.