Prepration principles¶
Preservation of tooth Retention and resistance form Structural durability Marginal integrity Preservation of peridontium
Retention and resistance form¶
Taper¶
Taper Freedom of displacement Length Structural durability
Occlusal reduction Functional cuspal bevel Axial reduction Marginal integrity Finish line configurations Chamfer.
Great question, Sri Ram! Here's the clear distinction:
Tooth Preparation Principles vs. Steps
A. Fundamental Principles of Tooth Preparation
These are biological and mechanical goals we must achieve:
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Retention Form – prevents removal along the long axis
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Resistance Form – prevents tipping or lateral forces
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Taper – total occlusal convergence (ideally 6–12°)
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Path of Insertion – imaginary line the crown follows during placement
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Structural Durability – enough space for restorative material
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Marginal Integrity – smooth, well-defined margins
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Preservation of Tooth Structure – minimal but sufficient reduction
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Biologic Considerations – avoid harming pulp, gingiva
B. Clinical Steps of Preparation (How we achieve the above principles):
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Occlusal Reduction → ensures structural durability
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Functional Cuspal Bevel → enhances occlusal strength
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Axial Reduction → for retention + resistance
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Finish Line Configuration → defines margin (e.g., chamfer, shoulder)
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Marginal Integrity → smooth, continuous margins
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Chamfer/Shoulder → specific margin design depending on crown type
Summary:
Taper, path of insertion, retention = design principles
Occlusal reduction, axial reduction, chamfer = technical steps to achieve those principles
If you'd like, I can make a visual table or mnemonic to remember this division better!
Tooth prepration¶
Ah, got it! You're asking:
“Usually, which type of tooth preparation is used for an abutment tooth—regardless of the type of retainer?”
Here's a simplified breakdown depending on the type of retainer used in a fixed partial denture (bridge):
See summary charts in 598 of nallaswamy
each type modifications¶
- Complete Cast Crown (Full Metal Crown Retainer)
Preparation: Full coverage crown preparation
Margin: Chamfer
Reduction: 1.0–1.5 mm occlusal, 0.5–1.0 mm axial
- Metal-Ceramic Crown (PFM Retainer)
Preparation: Full coverage with additional reduction for porcelain
Margin: Shoulder (for porcelain) + chamfer (for metal areas)
Reduction: 1.5–2 mm occlusal, 1.2–1.5 mm axial
- All-Ceramic Crown Retainer
Preparation: Full coverage, more reduction for esthetics
Margin: Heavy shoulder or deep chamfer
Reduction: 2 mm occlusal, 1.2–1.5 mm axial
- Conservative Retainers
(Used when minimal reduction is preferred, mostly anterior)
a. Resin-Bonded Bridge (Maryland Bridge)
Preparation: Minimal prep or no prep
Margin: Feather edge or slight chamfer at cingulum/lingual
Reduction: Minimal (mostly enamel for micromechanical retention)
b. Partial Veneer Crown (¾ or ⅞ crown)
Preparation: Partial coverage of tooth surfaces
Margin: Chamfer or shoulder
Reduction: Varies depending on design
Summary:
Let me know if you want diagrams or examples!