Step-by-step Crown Prep Procedure?

[cscho17]

Help! I'm pre-dent and just got hired as a dental assistant, to be trained on the job. But the assistant who has been training me won't be there on Monday, and the office is currently understaffed. The dentist has very high expectations, and I want to be as prepared as possible, to minimize the crashing and burning. Could someone list a general step-by-step for a crown prep? "...then the dentist will probably do some drilling, and next is cord packing...." Like that. It would be absolutely appreciated!

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[cscho17]

I believe there's also an ext scheduled Monday, so a step-by-step of that would also help me out a huge deal.

 

[HupHolland]

Honestly, our advice would do no good. Every dentist does each procedure a little bit differently. A dentist can't expect you to get everything right first day on the job.. If he/she does, then you will be miserable.

Plus, crown down technique differs greatly depending on what system you're using. With no dental school experience, you won't understand. Sorry but it's the truth.

Now extraction.. my general order is..

Periosteal elevator (Molt)
Small straight elevator (301)
Medium straight if needed
Back action if needed
Forcep (150 for max posterior, 151 man posterior, 99 max anterior, ash man anterior)
East/West for root tips
Rongeur for wiggling tips out

Once again, your doc will probably do things differently. Your best bet is to get a cassette and learn the instrument names so that way you can pass them quickly once they're called.

Hup

 

[armorshell]

Periosteal elevator (Molt)
Small straight elevator (301)
Medium straight if needed
Back action if needed
Forcep (150 for max posterior, 151 man posterior, 99 max anterior, ash man anterior)
East/West for root tips
Rongeur for wiggling tips out

You're going to ruin your rongeur blades there broski

 

[cscho17]

Okay, thanks very much! That'll help, at least.

 

[HupHolland]

You're going to ruin your rongeur blades there broski

Guess I'll have to learn the hard way when I start buyin my own stuff

 

[rose82]

I thought he asked for a crown prep technique and not a crown down?

 

[HupHolland]

I thought he asked for a crown prep technique and not a crown down?

Oops.

Ok...

Well....

Step 1: suction/blow air on mirror?

Step 2: clean up.


I've been doing way too many endos, not enough crown preps during my residency.