Assignment on:

Metalic Ceramic Restorations

Submitted to :
Dr. Raed Abu-Hantash

Faculty Of Dentistry, Department of

Prosthodontics

Made by:
Mubeen yaghi 21610112
Mohammad Ayyad 2161214
Introduction
Metal ceramic crowns are a traditional type of crowns often used in
bridges plus crowns cases. They are often used in posterior teeth for
their abilities to sustain forces so they are known to be robust. In
comparison to non-metal crowns like zirconia, EMAX and Veneers they
are less esthetic. The strength of the metal ceramic also known as
'Porcelain fused to metal' comes from the alloy ( used to be of noble
metal) covered by the porcelain crown. Although the porcelain system is
less esthetic it can be modified by the dentist when selecting the shade,
translucency and morphology. Due to the high prices of noble metal
alloys, Ni-Cr got more attention due to its low cost, high degree of
hardness, low density and high tensile strength but few cases showed
toxic reactions in metals containing Ni-Cr.

Another problem with the metal ceramics is the coefficient of linear

thermal expansion difference. General studies proved that the alloy
should have a more higher CTE than porcelain itself to compress the
porcelain when it's cooled thus increasing the restoration life over time
and usage and many failures happened when the opposite happened.

Study case
A study made by Dr.Sailer where 38-Zirconia restorations and 38 metal
ceramic restorations were applied onto 59 patients but same case which
was RCT before dressing up the teeth and no bruxism. Observation
followed for 41months and the results were that both of the materials
showed excellent survival rate but the chipping in zirconia was much
higher than the metal based restorations ( 33.4% VS 19.4%) also the
chipping and breaking all the way to the framework of zirconia was 5.6%
and 2.8% of restorations needed to be re done and that was not a small
percentage compared to no such results appeared in fused to metal
restorations.

Conclusions
i. Zirconia-ceramic exhibited a higher rate of veneer chipping and
delamination, as well as larger chipping size relative to metal–
ceramic under the same intraoral conditions.

ii. Zirconia now days is being modified like zirconia+glass and under
development all the time.

iii. Metal-ceramic is less esthetic but has a longer durability than

zirconia.
iv. Metal-ceramic is mainly for posterior teeth and bridges, where
zirconia-ceramic is mainly for anterior teeth or single crowns.
v. Ceramics in general have an open future in dentistry and are
under continuous progress.
vi. Shade selection in ceramics is an important step that adds extra
points to the ceramic used no matter what type and can be of bad
effect if it was chosen wrong.
vii. In the end, no material can be absolute neither it will be
completely useless but each should be used in its rightful case.
References:

1- Zhen Pang, Asima Chughtai, Irena Sailer, and Yu

Zhang. A fractographic study of clinically retrieved
zirconia–ceramic and metal–ceramic fixed dental
prostheses.  2015 Jul 29 ( study case only )
2- Asadollah Ahmadzadeh and Saghar Ghanavati.
Comparison of bond strength of two porcelains and
two base metal alloys in metal-ceramic restorations.
Dent Res J (Isfahan). 2019 Sep-Oct ( Main article )