Want to earn FREE CE? glidewell.dental/FreeCE Send Case: glidewell.dental/yourlab Dr. DiTolla explains the Reverse Prep Technique. Originally aired on Chairside Live episode 86 #ReversePrepTechnique #Dentistry #CrownPrep
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Well, in my opinion there are more opportunities to evaluate. First, you have to determin the cause of the recession (plaque? mechanical trauma?). Then you have to consider which tooth are you talking about (a frontal tooth? a premolar or posterior tooth? ), in order to think about possible terapies of the recession. Is the zone aesthetically important? If we are talking about an aesthetic zone, you should try to correct the gingival line before preparing a crown, with mucogingival surgery techniques ( soft tissue grafts, coronally- moved flap etc). Otherwise, if the aesthetics is not a problem, you can prepare the crown immediately. As far as vital teeth are concerned, for single rooted teeth I prefer the BOPT technique (similar to the feather edge...), while for posterior teeth I choose a chamfer margin if the tooth is not excessively tipped, because in this case you could have to do the endo. If you decide to treat the recession, you can also decide to guide the healing of the flap with a hard resin temporary crown (like biotemps), just placing the margin of the crown from 1,5 to 2 mm under the edge of the flap, without invading the biological width of the tooth.
Good technique, I will definitely apply this after some serious practice. In this case here, though, was it really necessary to make a crown preparations to this tooth? Given the condition of this particular tooth, it seems a bit unethical to "destroy" it.
Looks like its got big resin build-ups on the facial and lingual. It's got marginal wear and stain. Also, there may be considerations regarding the occlusion. Patient has signs of pathological wear.
i am afraid that a round burr would go too deep into the tooth, i use a round ended cylindrical burr, to shape the axial wall and the finishing line at the same time, what do you think ?
In the end there is much more than 2mm incisal reduction.I see that in all videos.Just compare when there are just depth cuts and where is incisal edge in the end.I don't like that.So I start with 1.5 depth cuts cause I know that in the end ,when all reduction is finished,will be between 1.8 and 2.0.
