2. The surface of the casting that is
retrieved from investment is too
rough for use in the mouth.Five
preparatory procedures need to be
performed on any type of
cemented restoration after it has
been fabricated
4. • The internal and external aspects of
restoration are handled differently.
• External surface smooth &perfect
uninterrupted transition from
restoration to tooth
• Rough surface plaque accumulation-
injurious to health of periodontal tissue
• Try in satin finish after chairside
adjustment high luster
• Finishing&polishing- accomplished with
fixed routine-coarse and fine
5. ABRASIVES AND POLISHING
MATERIALS
• ABRASIVES:exceptionally hard material
that develop sharp cutting edges when they are
chipped.
• POLISHING MATERIALS:abrasives
of softer material that are reduced to extremely
fine particle size.
6. COMMONLY USED ABRASIVES
AND POLISHING MATERIALS
DIAMOND
SILICON CARBIDE
EMERY
ALUMINIUM OXIDE
GARNET
SAND
CUTTLE
TRIPOLI
ROUGE
TIN OXIDE
7. COMMONLY USED FORMS
SEPARATING DISCS
MOORE’S DISC
HEATLESS STONES
BUSCH SILENT STONES
GREEN STONES
PINK STONES
WHITE STONES
RUBBER WHEEL AND POINTS
8. ZONES OF FINISHING AND
POLISHING
• ZONE 1:INTERNAL MARGIN
• ZONE 2:INTERNAL SURFACE
• ZONE 3:SPRUE
• ZONE 4:PROXIMAL CONTACT
• ZONE 5:OCCLUSAL SURFACE
• ZONE 6:AXIAL WALL
• ZONE 7:EXTERNAL MARGIN
11. Inspect under surface of cast under magnification
for small nodules or bubbles
Remove nodule with no:330 bur in high speed
.Trace negative angles on inside of occlusal surface
with tip of bur
Ideally the cast should touch the die only in the
marginal region –there should be a slight gap every
where else for future cementation.
A uniform space of 25 – 35micrometer necessary
If nodules present removed with round carbide
bur
12. Use a separating disc to cut the sprue from the
casting
Diagonal cutting plier may be used.
Hold hand piece with a firm pen grasp while
cutting the sprue next to the casting
Avoid tipping the disc- if a disc binds in the cut
grooves – it may flip the casting out of our hand
After removing the sprue , use separating to trim
the remaining portion of sprue attachment on the
casting until the contour in that area is continuous
with the contour of the restoration surrounding the
sprue
14. Use coarse rubber disc-to smooth away the
roughness left by the separating disc.
Use finer Burlew/gold lustre blue disc in
similar manner after coarse disc-now entire
surface smooth with satin finish
Axial surface finished to the margin-do not
extend over the margin-seat the restoration
on the cast
Adjust the interproximal area-until
restoration seats completely with contacting
adjacent teeth
16. Adjust occlusion in articulator-centric&eccentric
Remove restoration from working cast and place it
back to die
No:0-”bud” finish bur – to smooth grooves on
occlusal surface
Smooth cusp tips and blend them into the grooves
on the occlusal surface with a small rubber sulci
disc
External surface should have a satin like finish
produced by Burlew rubber polishing wheel
18. If careful and gentle no need of
anesthesia
Patient’s unimpaired tactile sense can be
valuable during adjustment of occlusion
Small safety ring provided by cutting a
thin slice from hollow sprue
Attach it to the wax pattern where it
will not interfere with occlusion
Thread floss through the ring before
trying casting in the mouth.
19. A safety ring may be fashioned by cutting
a thin slice from hollow sprue
23. • Remove provisional restoration by
grasping the buccal and lingual surface
with tips of backhaus towel forceps and
rocking it to the facial and lingual.
• Remove the left cement particles
• Wipe of prepared surface with cotton
pellet ( dry )
• Wash with luke warm water
25. A)Richwil crown remover soaked in hot water
B)patient closes on softened cube
C)patient opens quickly and forcefully to
remove crown
26. Evaluation of restoration in
following sequence:
Proximal contact
Margins
Occlusion
Contour
Esthetics
27. Adjustment of proximal surface
contact
Proximal contact – neither too tight nor too light.
Place the restoration on the tooth & seat it with firm
finger pressure.
Do not mallet / apply occlusal pressure.
Crown can be removed with Richwil crown remover
soaked in hot tap water for 1min
Patient closes on the softened cube
Patient opens quickly and forcefully to remove crown
28. Test for proximal contact
with waxed dental floss
Satin finish on gold
restoration -
advantageous-
shiny burnished
area where tight
contact occurs
29. Marginal adaptation
After proximal
contact corrected
seat restoration
and examine
margin closely-
should not be ;
Overextended
Under extended
Too thick
Open- gap greater
than 50µm
30.
31. Various materials used to detect
discrepancies
Chloroform & rouge / thinned typewriter
correction fluid-painted in the internal surface
Thin layer of dry aerosol indicators – sprayed
DISCLOSING WAX:
Fill restoration ½ full of disclosing wax
Heat in flame to flow the wax & adhere to inner surface
Teeth wet with saliva( avoid sticking of wax)
Wax solidified seat restoration hold for 10 sec
then remove
32. Areas of metal – tooth contact –
appear as shiny spot devoid of wax
Relief impinging areas with no:30 bur-
allow restoration to seat further
Remove disclosing material by
swabbing with chloroform and sand
blasting
Tooth cleaned with cavilax
33. GOLD MARGIN FINISHING
2 types of margins- sub gingival & supragingival
Casting placed on prepared tooth and have the patient seat
it by closing on plastic bite wafer/wooden stick
Burnishing and marginal adaptation with dull spratley
knife(30µm adaptation)
Finishing with white stone (60µm adaptation)
Final precementation smoothening with 3/8 inch cuttle
disc
36. OCCLUSAL ADJUSTMENT
Ask the patient to close in customary position
Check if patient can hold the shim in between
adjacent teeth with crown out – if not the
crown too high
Ask the patient to bite in centric relation
Force until all teeth touch
37. Cntd…..
• If mandible shifts to • If mandible shifts
side of restoration away from restoration
• Buccal incline of
• BULLS
maxillary lingual
cusp / lingual incline
of mandibular buccal
cusp adjusted
38. If patient can hold shim stock on adjacent teeth
with the crown out,but not with it , the crown is
too high
39. Premature contact on buccal incline of maxillary
lingual cusp produces buccal shift to mandible
40. Premature contact on lingual slope of maxillary buccal
cusp produces lingual shift of mandible
41. Premature contact on lingual incline of maxillary
lingual cusp produces lingual shift of the mandible
45. ESTHETICS
• Restoration viewed from conversational
distance- see if contours harmonize with
rest of patient’s dentition
• Let patient look in a mirror
47. Polished to high shine
polish axial surface with Tripoli on soft bristle brush
occlusal anatomy restored (171 L carbide bur )
• Shiny finish • Matt finish (sandblasting)
• Enable observation of
facets/burnishing produced by
occlusal contact after casting in
mouth
53. Occlusion checked
Finishing with fine rubber point
White polishing stone with lubrication
(petrolatum)
To inaccessible areas
Fine cuttle disc
Pumice and rubber cup
FINAL POLISHING by – intraoral
amalgloss