Prosthodontics & Occlusion · patient case question

A photograph of a crown shows a defined space on the internal surface of the casting. What is this?

Patient case: Analgesia, paediatric trauma and restorative decisions

Scenario: Four items, three of them treatment decisions.

  1. Die spacer relief for the cement film
  2. An open margin
  3. A porosity defect in the casting
  4. An overcontoured axial wall
Show answer and explanation

Correct answer: A. Die spacer relief for the cement film

  • A. Correct. Die spacer is painted onto the die, short of the margin, to create deliberate internal relief. Without it, the cement cannot escape and the crown will not seat completely.
  • B. An open margin is a gap at the finish line, visible at the periphery rather than internally.
  • C. Casting porosity appears as voids within the metal itself, not as uniform internal relief.
  • D. Overcontouring is an external form problem that causes plaque retention and gingival inflammation.

Note: Spacer is kept about 1 mm short of the margin so that marginal adaptation is unaffected.

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