Incomplete marginal seating of crowns and improper proximal contact adjustment during any indirect restorations are endemic problems that leave patients uncomfortable and make the restorations significantly more likely to fail prematurely.
In my office, I have experienced that about 50% of crowns are too tight, and the Black Diamond Strips cannot get into the interproximal space to adjust the proximal contacts. Occasionally, the crowns are even too wide to fit into the space between two adjacent teeth, which can be very frustrating to dentists.
In natural dentition, there is microscopic clearance or passive contact between teeth when they are in rest position, which is called Interproximal Relief (IR)*, and when a crown is fabricated, it is necessary to adjust the crown on the proximal contact surfaces to restore IR, and to achieve complete marginal seating for patient comfort and functionality.
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After the cementation of crowns, all the visible cement is removed and floss passes smoothly, making it easy to assume that all of the cement has been cleaned up. But as a final check, when an x-ray is taken, a little piece of resin cement is found just below the proximal contact area, hidden in the subgingival area and stuck to the enamel surface.