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Planning and Making Crowns and Bridges 4th Edition by Bernard Smith, Leslie ISBN 1040073530 9781040073537

Name: Planning and Making Crowns and Bridges 4th Edition by Bernard Smith, Leslie ISBN 1040073530 9781040073537
SKU: EB-5632
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Authors:Bernard G.N. Smith, Leslie C. Howe , Series:Dentistry [188] , Author sort:Bernard G.N. Smith, Leslie C. Howe , Ids:9780415398503 , Languages:Languages:eng , Published:Published:Aug 2017 , Publisher:Informa Healthcare , Comments:Comments:The aim of this book is to answer at least as many of the questions beginning with â€˜whyâ€™ as those that begin with â€˜howâ€™. A textbook is not the ideal medium for teaching practical, clinical or technical procedures. These are best learnt at the chairside and in the laboratory. However, the mass of material which must be learnt, usually in a restricted timetable, in the clinic and laboratory means that there is often insufficient time to answer the questions, â€˜Why am I doing this?â€™ or, â€˜When should I not do this?â€™ or even, â€˜What on earth can I do here?â€™. The book is meant for clinicians, both undergraduate and postgraduate, and so although the emphasis is on treatment planning, crown and bridge design and the related theory, clinical techniques are also described in some detail. Laboratory technique is, though, almost completely omitted, both to keep the book to manageable proportions and because most clinicians no longer undertake this themselves. It is nevertheless abundantly clear that a good standard of laboratory work is as important as the other phases in the construction of crowns, bridges and implants. The process may be divided into three stages: Initial decision making and mouth preparation Clinical procedures Technical procedures.

SKU: EB-5632 Category: eBook PDF Tags: Bernard Smith, Bridges 4th, Leslie, Making Crowns, Planning

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Planning and Making Crowns and Bridges 4th Edition by Bernard G.N. Smith, Leslie C. – Ebook PDF Instant Download/Delivery. 1040073530, 978-1040073537
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ISBN 10: 1040073530
ISBN 13: 978-1040073537
Author: Bernard G.N. Smith, Leslie C.

This highly successful text, which has achieved wide acclaim among practitioners and is a recommended text in the major dental schools, has again been revised and updated to keep it at the forefront of clinical practice. As before, the intention is to help solve real clinical problems by guiding dentists to make the right initial decision and then carry it through. This new edition includes significantly expanded material on veneers and implants in particular, so as to help dentists advise patients in their choice of what to do and how to make informed choices.

Planning and Making Crowns and Bridges 4th Table of contents:

Part 1: Crowns

Indications and Contraindications for Crowns:
- Crowns are used for badly broken-down teeth, trauma, tooth wear, hypoplastic conditions, to alter tooth appearance or function, and as part of other restorations.
- Alternatives to crowns include fillings, bleaching, veneers, and inlays depending on the tooth’s condition and the desired outcome.
- Anterior crowns are typically used for caries, trauma, non-vital teeth, tooth wear, and hypoplastic conditions. Alternatives include bleaching and veneers.
- Posterior crowns may use bonded or pin-retained amalgam, composite restorations, or gold inlays.
Types of Crown:
- Ceramic Crowns: Includes traditional porcelain jacket crowns, pressed ceramics, and zirconia cores.
- Metal-Ceramic Crowns: These combine a metal base with a ceramic layer for aesthetics and durability.
- Other Crowns: Cast metal acrylic or composite-faced crowns, fibre-reinforced composite crowns, and post-retained crowns.
Crown Preparation Design:
- Preparation depends on the material used (metal, ceramic, or metal-ceramic) and includes considerations of occlusion, tooth shape, and the adjacent structures.
- Proper retention and resistance form are essential to prevent crown failure, with strategies including taper, length, and interlocking minor undercuts.
Occlusal Considerations:
- Proper occlusion is critical for crown longevity, with adjustments made to prevent premature contacts and ensure harmony.
- Tools like articulating paper, wax, and occlusal registration silicones help with occlusal analysis.
Planning and Making Crowns:
- Comprehensive patient assessment is essential, including occlusion, tooth condition, and the patient’s needs.
- Detailed planning for crown design, material selection, and tooth preparation must precede clinical and laboratory stages.
Clinical Techniques for Making Crowns:
- Involves preparing the tooth, making impressions, and fabricating temporary crowns.
- After tooth preparation, a working impression is made, followed by a trial of the permanent crown for fit, retention, occlusion, and appearance.

Part 2: Bridges

Indications for Bridges:
- Bridges are indicated for replacing missing teeth, particularly when there are issues with occlusion, aesthetics, or the function of partial dentures or implants.
Types of Bridge:
- Conventional Bridges: Fixed-fixed, cantilever, and spring cantilever are common designs.
- Minimum-Preparation Bridges: These are less invasive and may offer aesthetic benefits but have some limitations.
Components of Bridges:
- Retainers: Full crowns, partial crowns, or minimum-preparation retainers are used for anchoring bridges.
- Pontics: The part of the bridge replacing the missing tooth. Its design must ensure cleanliness, strength, and good aesthetics.
- Connectors: Connectors between pontics and retainers, ensuring strength and stability.
Designing and Planning Bridges:

Factors like the condition of abutment teeth, occlusion, and span length must be considered when planning a bridge.
Ensuring the conservation of tooth tissue and good cleansability are key.

Clinical Techniques for Bridge Construction:

Preparing the abutment teeth, making temporary bridges, and fitting the final bridge involve careful planning and execution.
A range of materials may be used depending on the patient’s needs and the design chosen.

Part 3: Implants, Splints, and Maintenance

Dental Implants:

General Indications for Implants: Used when bridges or dentures are not viable options. Implants integrate with the bone, providing a stable foundation for restorations.
Planning and Surgical Procedures: Involves selecting the correct number and placement of implants, addressing any bone deficiencies, and ensuring aesthetic outcomes.

Fixed Splints:

Indications: Used in trauma, periodontal disease, or orthodontic retention to stabilize teeth or prevent further damage.
Types: Can range from short-term splints for immediate care to long-term splints for permanent stability.

Crown and Bridge Failures and Repairs:

Causes of Failure: Includes loss of retention, mechanical failure, caries, periodontal disease, and issues with abutment teeth.
Repairs: Involves grinding, polishing, or replacing parts of crowns and bridges. Adjustments and re-cementation may also be necessary.

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