Improving the fit of crowns with die spacers. 1989

R Grajower, and Y Zuberi, and I Lewinstein
Laboratory for Dental Materials, Hebrew University-Haddash School of Dental Medicine, Jerusalem, Israel.

This investigation studied the dependence of seating crowns on the thickness of layers of spacers applied to dies. Extracted molars were prepared to designated taper angles. Artificial stone dies were prepared in polyether impressions of tooth preparations and covered with one to five layers of new or old spacer material in a predetermined manner. Wax patterns were invested to obtain a uniform and low expansion. Crowns were cast, luted to the teeth, invested in acrylic resin, ground parallel to the axes of the teeth, and inspected microscopically. The average thickness of layers of new and old spacer material was determined. The application of spacers up to the shoulder margins of dies decreased the elevation of the casting above the margin of the tooth preparation until an average minimum elevation above the shoulder of the preparation was obtained. A further increase in the spacer thickness did not affect the elevation, but increased the cement thickness at the axial walls. The average minimum elevation results mainly from individual protrusions on the casting surface. The optimum thickness of the spacer results in the minimum elevation at the margin together with a low cement thickness at the axial walls. Leaving the cervical part of the axial walls near the margin uncovered with spacer negates the effect of a thick spacer on the remaining die surface almost completely and is therefore contraindicated.

UI MeSH Term Description Entries
D002484 Cementation The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive. Cementations
D003442 Crowns A prosthetic restoration that reproduces the entire surface anatomy of the visible natural crown of a tooth. It may be partial (covering three or more surfaces of a tooth) or complete (covering all surfaces). It is made of gold or other metal, porcelain, or resin. Dental Crowns,Crown, Dental,Crowns, Dental,Dental Crown,Crown
D003735 Dental Casting Technique The process of producing a form or impression made of metal or plaster using a mold. Casting Technic, Dental,Casting Technics, Dental,Casting Technique, Dental,Casting Techniques, Dental,Dental Casting Technic,Dental Casting Technics,Dental Casting Techniques,Technic, Dental Casting,Technics, Dental Casting,Technique, Dental Casting,Techniques, Dental Casting
D003737 Dental Cavity Preparation An operation in which carious material is removed from teeth and biomechanically correct forms are established in the teeth to receive and retain restorations. A constant requirement is provision for prevention of failure of the restoration through recurrence of decay or inadequate resistance to applied stresses. (Boucher's Clinical Dental Terminology, 4th ed, p239-40) Cavity Preparation, Dental,Cavity Preparations, Dental,Dental Cavity Preparations,Preparation, Dental Cavity,Preparations, Dental Cavity
D003738 Dental Cements Substances used to bond COMPOSITE RESINS to DENTAL ENAMEL and DENTIN. These bonding or luting agents are used in restorative dentistry, ROOT CANAL THERAPY; PROSTHODONTICS; and ORTHODONTICS. Dental Adhesives,Luting Agents,Orthodontic Adhesives,Cement, Dental,Cements, Dental,Dental Cement,Adhesive, Dental,Adhesive, Orthodontic,Adhesives, Dental,Adhesives, Orthodontic,Dental Adhesive,Luting Agent,Orthodontic Adhesive
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013499 Surface Properties Characteristics or attributes of the outer boundaries of objects, including molecules. Properties, Surface,Property, Surface,Surface Property
D014783 Viscosity The resistance that a gaseous or liquid system offers to flow when it is subjected to shear stress. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Viscosities
D014885 Waxes A plastic substance deposited by insects or obtained from plants. Waxes are esters of various fatty acids with higher, usually monohydric alcohols. The wax of pharmacy is principally yellow wax (beeswax), the material of which honeycomb is made. It consists chiefly of cerotic acid and myricin and is used in making ointments, cerates, etc. (Dorland, 27th ed)

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