A decision “commitment to work” A thought, a feeling, an emotion, an action: crown cutting
My mentor Dr. Achuth M Baliga Screamed at me once 14 years ago for cutting the crown in the wrong way. An when I joined him back again 12 years later, the first patient I volunteered to do for him was a Crown cutting case. Before this cutting 200 crowns in a month in a friend’s clinic. Now, I’m at my own clinic and Manipal hospital and can I make a commitment to my mentor and guide, Dr. Samuel Shadrack to learn everything in dentistry to make me a complete dentist? Since I’ve picked up all the basic skills in dentistry from them over the years.
Technically, I do the crown cutting with three burs, the pear-shaped bur to reduce the occlusal height, the small chamfer bur to reduce, buccal & lingual width, and break the mesial & distal contacts (a long tapered bur can be used, so as to reduce less of the mesial & distal, and not touch the neighboring teeth), and chamfer margin finishes all round the tooth. An the, finishing bur for the final polish to give a smooth finish, for the impression, and laboratory.
Now, for patients, it’s important to know the three Different types of Crowns & bridges, available in the market. Metal crowns, slowly with their aesthetic silver finish, are being phased out in the market. Still, in a few cases, this might be required by the dentist, when the occlusal clearance is less. The crown cutting preparation usually, requires a shoulder, finish. PFM, or the Porcelain fused to metal crowns these are the most common crowns, given by dentist to patient. Requiring a chamfer finish margin. Still, if you want higher, aesthetics, there are Zirconia(or eMax Crowns). These make the crown, look practically identical or close to natural, to your old tooth, teeth, or neighboring teeth. All these variations can be used for implant crowns. Then, their are Veeners, & luminer for aesthetics still, crowns would be the sturdier, choice. And a good crown preparation is required for the longevity of the crown, which comes out of the experience of the dentist & the dental technician to deliver excellent laboratory work. The choice is in your hands to choose, a good dentist, and crown with the information you have, present in this short blog. As it’s in the dentist's hand to choose, the crown and the laboratory to deliver the best work to the patient. Now will, regenerative pulp in ten to fifteen to twenty years remove the necessity of the crown in few cases and keep the tooth, circulation going?
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