CERAMIC SYSTEMS FOR INDIRECT RESTORATIONS Flashcards
what are ceramics
compounds of metallic and non metallic elements
what is the building block for ceramic
silica SiO2 gives rise to 1) crystalline 2) amorphous
feldspathic ceramic
weak supported by either metal PFM high strength ceramic substructure bond to the tooth and therefore we use tooth as substructure
problems with metal ceramic productions
problem making restoration - space (need sufficient space to fit and make ceramic lifelike) aesthetics metal substructure prevents light transmittance often appear opaque metal margin can be seen metal ceramic bond metal ceramic junction metal ceramic compatibility support for ceramic
ceramic are best under and poor under
poor in tension
good in compression
thermal co expansion effects
heated they expand
ideally we want the same co efficient so no shrinkage or tension
- will result in radial cracks if co efficients not controlled
what do we want the TEC of ceramic to be
equal or slightly less of the metal
ceramics will have leucite placed to change this
how can ceramic be supported
metal substructure PFM
high strength ceramic substructure
bond to tooth and therefore we use tooth as a substructure eg resin bonded crown
high strength ceramic substructures available
zirconia - sintered and milled can be CAD camed range of translucency very strong material (can be abrasive on tooth)
previous high strength ceramic substructures
porcelain jacket crown
glass infiltrated materials
pure alumina substructures
indications for zirconia
strength
aesthetics
resin bonded restorations examplees
venners
dentine bonded crowns
inlays onlays
partial crowns
most common resin bonded restoration
lithium disilicate eg emax
lecite glass ceramics and lab problems
RM - bonded to underlying tooth
restoration has to be etched so can bond to tooth surface
have to make refractory model produciton
duplicaiton of die may compound problems
lack of supporting structures
limitations of lecite glass ceramics
single units only
weak therefore anterior region only
- rely on bonding to the underlying tooth structure