CC BY-NC-ND 4.0 · Eur J Dent 2013; 07(04): 509-513
DOI: 10.4103/1305-7456.120665
Review Article
Dental Investigation Society

The total occlusal convergence of the abutment of a partial fixed dental prosthesis: A definition and a clinical technique for its assessment

John S. Mamoun
1   Private Practice, General Dentistry, Manalapan, NJ, USA
› Author Affiliations
Further Information

Publication History

Publication Date:
26 September 2019 (online)

ABSTRACT

The abutment(s) of a partial fixed dental prosthesis (PFDP) should have a minimal total occlusal convergence (TOC), also called a taper, in order to ensure adequate retention of a PFDP that will be made for the abutment(s), given the height of the abutment(s). This article reviews the concept of PFDP abutment TOC and presents an alternative definition of what TOC is, defining it as the extent to which the shape of an abutment differs from an ideal cylinder shape of an abutment. This article also reviews experimental results concerning what is the ideal TOC in degrees and explores clinical techniques of estimating the TOC of a crown abutment. The author suggests that Dentists use high magnification loupes (×6-8 magnification or greater) or a surgical operating microscope when preparing crown abutments, to facilitate creating a minimum abutment TOC.

 
  • REFERENCES

  • 1 Shillingburg HT, Jacobi R, Brackett S, Hobo S, Whitsett LD. Fundamentals of fixed prosthodontics. 3rd ed. Chicago: Quintessence Publishing; 1997: p. 124-126, 338-340
  • 2 Blair FM, Wassell RW, Steele JG. Crowns and other extra-coronal restorations: Preparations for full veneer crowns.. Br Dent J 2002; 192: 561-564,567
  • 3 The glossary of prosthodontic terms. J Prosthet Dent 1999; 81: 39-110
  • 4 Rosenstiel SF, Land MF, Fujimoto J. Contemporary fixed prosthodontics. 4th ed. St. Louis: Mosby; 2006
  • 5 Jørgensen KD. The relationship between retention and convergence angle in cemented veneer crowns. Acta Odontol Scand 1955; 13: 35-40
  • 6 Shillingburg HT, Hobo S, Fisher DW. Preparations for cast gold restorations. 1st ed. Chicago: Quintessence Publishing Co; 1987
  • 7 Kaufman EG, Coehlo DH, Colin L. Factors influencing the rentention of cemented gold castings. J Prosthet Dent 1961; 11: 487-502
  • 8 Parker MH, Calverley MJ, Gardner FM, Gunderson RB. New guidelines for preparation taper. J Prosthodont 1993; 2: 61-6
  • 9 Ohm E, Silness J. The convergence angle in teeth prepared for artificial crowns. J Oral Rehabil 1978; 5: 371-5
  • 10 Mack PJ. A theoretical and clinical investigation into the taper achieved on crown and inlay preparations. J Oral Rehabil 1980; 7: 255-65
  • 11 Noonan Jr JE, Goldfogel MH. Convergence of the axial walls of full veneer crown preparations in a dental school environment. J Prosthet Dent 1991; 66: 706-8
  • 12 Nordlander J, Weir D, Stoffer W, Ochi S. The taper of clinical preparations for fixed prosthodontics. J Prosthet Dent 1988; 60: 148-51
  • 13 Roudsari RV, Satterthwaite JD. The influence of auxiliary features on the resistance form of short molars prepared for complete cast crowns. J Prosthet Dent 2011; 106: 305-9
  • 14 Proussaefs P, Campagni W, Bernal G, Goodacre C, Kim J. The effectiveness of auxiliary features on a tooth preparation with inadequate resistance form. J Prosthet Dent 2004; 91: 33-41
  • 15 Ayad MF, Maghrabi AA, Rosenstiel SF. Assessment of convergence angles of tooth preparations for complete crowns among dental students. J Dent 2005; 33: 633-8
  • 16 Mamoun J. Preparing fixed partial denture abutments such that they provide a path of placement free of undercuts. Gen Dent 2012; 60: 519-25
  • 17 Patil PG. Modified measuring compass as an intraoral paralleling device. Indian J Dent Res 2010; 21: 452-3