Week 13-The All-Ceramic Crowns

Recommended Reading
Prosthodontics Theoretical
The All-Ceramic Crowns Contemporary fixed
prosthodontics Rosenstiel et al
Ch 11 - The All-Ceramic
İzim TÜRKER
Assistant Professor Crown Preparation
Bahçeşehir University
School of Dental Medicine
Department of Prosthodontics
izim.turker@vsh.bau.edu.tr
Fundamentals of fixed prosthodontics.

Herbert T. Shillingburg
Ch 23 - All-Ceramic Restorations
The All-Ceramic Crowns 02.01.2023 DENT2001 Prosthodontics © Assist. Prof. İzim TÜRKER
Learning outcomes Introduction

At the end of this lecture students will be able to;
• All-ceramic inlays, onlays, veneers, and crowns can be some of the most esthetically pleasing
1. Define the all-ceramic crowns and their differences of them from other restorations. prosthodontic restorations.
2. Discuss the fabrications of all-ceramic restorations.

3. Interpret the indications, contraindications, advantages, and disadvantages of all- • Because they have no underlying metal to block light transmission, they can resemble natural tooth
structure better in terms of color and translucency than any other restorative option.
ceramic crowns.
4. Remind the preparation steps of an anterior tooth for PFM restorations, similarities,
and differences between all-ceramic crown preparation.
5. Compare the all-ceramic indications according to different clinical cases.
The All-Ceramic Crowns 02.01.2023 DENT2001 Prosthodontics © Assist. Prof. İzim TÜRKER The All-Ceramic Crowns 02.01.2023 DENT2001 Prosthodontics © Assist. Prof. İzim TÜRKER

Introduction Fabrication Techniques
• Their chief disadvantage is their susceptibility to

fracture, although this can be lessened by use of the
resin-bonded technique and higher strength
ceramics.
Porcelain chipping
Platinum foil technique
Fabrication Techniques Fabrication Techniques
Pressing technique Milling technique
Platinum foil technique

Slip-casting technique
Indications Indications
• High esthetic requirement
• Proximal or facial caries (not effectively restored with

composite resin) • Smooth and consistent anterior guidance
• Intact teeth with sufficient coronal structure • Out of contact is not recommended
• Favorably distributed occlusal load (middle third of

the lingual wall)
Anterior guidance
The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

DENT2001 Prosthodontics © Assist. Prof. İzim TÜRKER DENT2001 Prosthodontics © Assist. Prof. İzim TÜRKER
Contraindications Advantages
• When a more conservative restoration can be used

• Superior esthetics
• Increased occlusal load

• Excellent translucency
• Reduced esthetic demand

• Good soft tissue response
• Occlusal loading is unfavorable

• More conservative reduction than PFM (for facial
surface)
• Possible to provide adequate support
• Transluceny and color can be and modified by
• Less than 1 mm margin width circumferentially
luting agent.


Disadvantages Disadvantages
1. Reduced strength
2. Need for additional reduction on the proximal and
lingual aspects. • Sloping shoulder margin is not recommended
3. Porcelain brittleness > shoulder margin • Incisal loading leads to tensile stresses
4. Less conservative than PFM crowns • Preparation should provide support for the
5. Difficulties associated with a well-fitting margin porcelain
6. Proper preparation design is critical

7. High cost

Preparation Preparation
• Round-ended, tapered diamonds, • Depth grooves for incisal reduction
regular and coarse grit (0.8 mm) • Incisal reduction

• Depth grooves for facial reduction
• Square-ended, tapered diamond,
• Labial reduction
regular grit (1.0 mm), or end-cutting
• Depth grooves and lingual reduction
diamond
• Depth grooves for cingulum reduction
• Football-shaped diamond • Lingual shoulder margin preparation
• Fine grit finishing diamonds or carbides • Finishing
• Mirror, Periodontal probe, Explorer • The preparation sequence for a ceramic crown is
• Chisels and/or hatchets similar to that for a metal-ceramic crown; the
principal difference is the need for a 1-mm-wide
• High- and low-speed handpieces
circumferential shoulder margin.


Metal-ceramic crowns preparation All-ceramic crowns preparation

Metal-ceramic crowns preparation All-ceramic crowns preparation Metal-ceramic crowns preparation All-ceramic crowns preparation

Clinical Case - I Clinical Case - I
Failed resin composite restoration

Shade selection of the adjacent tooth Completed preparation Shade selection of the preparation

Provisional (PMMA) restoration

Completed preparation
Completed all ceramic restoration Immediately after cementation

10-days post-op after cementation

Immediately after cementation

Clinical Case - I Clinical Case - II
• Intra-oral repair technique for ceramic fracture

using direct resin composite
10-days post-op after cementation

Clinical Case - II Clinical Case - II
Close-up of a fractured ceramic restoration Modi ed rubber dam technique

Bevel preparation Hydro uoric acid etching for 90 seconds

fi
fl
Application of the silane coupling agent Photo-polimerization for 20 seconds

DENT2001 Prosthodontics © Assist. Prof. İzim TÜRKER
Application of the resin composite After-immediately

Summary Summary


Week 13-The All-Ceramic Crowns

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Week 13-The All-Ceramic Crowns

Uploaded by

Copyright:

Available Formats

Recommended Reading

Fundamentals of fixed prosthodontics.

Learning outcomes Introduction

2. Discuss the fabrications of all-ceramic restorations.

Introduction Fabrication Techniques

• Their chief disadvantage is their susceptibility to

Platinum foil technique

Fabrication Techniques Fabrication Techniques

Pressing technique Milling technique

Platinum foil technique

• High esthetic requirement

• Proximal or facial caries (not effectively restored with

• Favorably distributed occlusal load (middle third of

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

• When a more conservative restoration can be used

• Increased occlusal load

• Reduced esthetic demand

• Occlusal loading is unfavorable

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

6. Proper preparation design is critical

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

regular and coarse grit (0.8 mm) • Incisal reduction

• Fine grit finishing diamonds or carbides • Finishing

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

Metal-ceramic crowns preparation All-ceramic crowns preparation

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

Failed resin composite restoration

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

Clinical Case - I Clinical Case - I

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

Provisional (PMMA) restoration

Clinical Case - I Clinical Case - I

Completed all ceramic restoration Immediately after cementation

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

10-days post-op after cementation

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

Clinical Case - I Clinical Case - II

• Intra-oral repair technique for ceramic fracture

10-days post-op after cementation

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

Close-up of a fractured ceramic restoration Modi ed rubber dam technique

Clinical Case - II Clinical Case - II

Bevel preparation Hydro uoric acid etching for 90 seconds

Application of the silane coupling agent Photo-polimerization for 20 seconds

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

Clinical Case - II Clinical Case - II

Application of the resin composite After-immediately

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

The All-Ceramic Crowns 02.01.2023 The All-Ceramic Crowns 02.01.2023

You might also like