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Restorative Management (Material Choice (Other Factors (Pateint Factors…

- - - - Metal (GOLD)
        
        :check: strength, wear resistance, biocompatible, durability, conservative prep, CADCAM
        :forbidden: aesthetics, cost, lab handling
      - PFM
        
        :check: strength, wear resistance, biocompatible, durability, aesthetics
        :forbidden: aesthetics, aggresive prep, lab handling
      - All-Ceramics
        
        :check: superior aesthetics, CADCAM, biocompatible, good mechnaical properties, occlusion adaptation, subgingival preps full coverage option (benefits of ferrule), LT survival, dimensionaly stable
        :forbidden: wear resistance, non-repariable, aggressive prep, wears opposing teeth, lab handling, failure is catastrophic, requires impressions, more requirements of the tooth for retention/resistance cost
        
        Lithium Disilicate (Emax)
        superior aesthetics less strong indicated for situations of low occlusal load ex. Veneers, Ant crowns and Post Inlays and Onlays
        
        Zirconia
        more opaque, high physical properties indicated for situations of high occlusal load. Requires transformation toughening (LAB)
    - - Inlays/Onlays
        
        :check: Conservation off tooth structure Access to margins for OH Access for vitality testing, good for adequate crown height/no aesthetic concern
        :forbidden: Preparation difficult, Some metal display, not good for short crowns/poor OH/thin teeth
      - Veneers
        
        :check: Covering exposed root surfaces, reduction of black triangles, improves aestehtics
        :forbidden: discoloration at margin, breakage, debonding
- - - - Protrusive/lateral/excursive movements
      - Guidance
      - High vs Low load areas
    - - Age
      - Caries Risk and/ or Periodontal Risk
      - Attitudes/Expectations
      - Finacial limitations
    - - Long Term Management
      - Strategic postition of the tooth in the mouth
- - - - Low Risk
        
        No new lesions
        
        good OHCP
        
        no poor diet habits
        
        optimal F- exposure
        
        no family hx of caries
      - Moderate Risk
        
        1 new carious lesion per year
        
        irregular OHCP
        
        occasional snacking
        
        sealants done
        
        moderate F- exposure
      - High Risk
        
        2+ new lesions per year
        
        poor OHCP
        
        no sealants
        
        no F- exposure/use
        
        family hx caries
        
        dry mouth
  - - - Low Risk - 12 month recall
      - Moderate Risk - 6 month recall
      - High Risk - 3 month recall