Cast-metal full veneer crown Flashcards
Indications of full metal crown
1-Extensive destruction of tooth structure from caries, trauma
2-Endodontically treated teeth
3-Needs of maximum retention and strength
4-Need for recontouring of clinical crown (e .g to receive an RPD)
5-Correction of occlusal plane
Advantages of full metal crown
1-High retentive qualities
2-Adequate resistance
3-More conservative in compare to PFM
4-Acomplet cast crown has superior strength
In adequate axial reduction can cause
A-thin wall and weak restoration
B-over-contour restoration which encourage
Plaque accumulation.
Metal-ceramic crown preparation
Indications
1-Extensive destruction of tooth structure from caries, trauma and
tooth wear
2-Endodontically treated teeth
3-Necessity for maximum retention and strength
4-Need for re-contouring of clinical crown
5-correction of occlusal plane
Metal-ceramic crown preparation Contraindications
1-If more conservative restoration is feasible
2-Young patient with large pulp chamber
What determines the design of the occlusal surface
1-esthetics
2-clinical crown height
3-occlusion
4-habits
5-opposing dentation
6-size of the pulp( age of the patient)
All-ceramic crown preparation
Indications
1-In areas with high esthetic requirement
2-Incisal edge intact
3-Favorable distribution of occlusal load
4-Endodontically treated anterior teeth
All-ceramic crown preparation
Contraindication
1-When superior strength is needed
2-Insufficient coronal tooth structure for support
3-Thin teeth faciolingually
4-Unfavourable distribution of occlusal load
a-edge to edge occlusion
b-bruxism
methods of porcelain construction
1-Castable ceramic
a-(Dicor) : This material is cast as glass by lost wax technique
b-Heat pressed casting (IPS Empress)
2-Machinable ceramic CAD-CAM system
3-Core strengthening ceramics e.g. Hi- ceram- In-ceram
4-Bonded foil ceramic
types of partial veneer crown :
1-Extracoronal restoration which include:
-3/4 crown of anterior and posterior teeth
-Reverse 3/4 crown
-7/8 crown
-Proximal half crown
2-Intracoronal restoration include:
Inlay, and Onlay
3-Laminate veneer