Management of Badly Broken Down Teeth II
Management of Badly Broken Down Teeth II
Management of Badly Broken Down Teeth II
Economic
↓ strength of amalgam
Surface characteristics
Number & depth of the elevation on the pin
(serration or thread)
Shape of self-threading pin – greatest retention
FACTORS AFFECTING THE RETENTION OF
THE PIN IN DENTIN AND AMALGAM
Pin Size
Depend on the amount of dentin available and
amount of retention desired.
Number of Pins
Several factors must be considered:
Amount of tooth structure
Number of Pins
Location
Several factors aid in determining pinhole
location:
1. Knowledge of normal pulp anatomy &
external tooth contour
2. Current radiograph of the tooth
3. Periodontal probe
4. Patient’s age
SOME CONSIDERATIONS:
Pinhole:
Should be located near the line angles
of the tooth
Dull drill →
↑ frictionalheat
Cracks in the dentin
Double matrix
Copper
Auto matrix
FAILURE OF PIN-RETAINED RESTORATION
Solution:
• Remove pin , pinhole prepared with next largest
size drill , appropriate pin inserted
NOTE:
in systems that have a separate dentin bonding agent
that is placed before the more viscous bonding
liner is applied,
apply that dentin bonding agent prior to matrix band
placement
CLINICAL TECHNIQUE FOR RESIN BONDED
AMALGAM RESTORATION
6. Apply the chemically-cured resin bonding liner
manufacturer’s instructions.