Crown

Operative
Zirconia
• Monolithic vs high translucency
• Advantage
• Less tooth prep than full ceramic or metal + ceramic
• Biological compatibility
• High strength
• Non-allergic
• Good appearance
• Disadvantages
• Surface treatment needed
• Too tough  negatively impact tooth root and other neighbouring teeth
• Wearing down opposing teeth  require very good polishing
Zirconia
• Choice of cement
• Purely light-cured resin cement C/I  light cannot pass through zirconia?
• Does not bond to resin cement?
• Surface treatment needed if using resin cement  sandblasting with alumina
particles (Al2O3)
Min 0.7-0.8 mm
Occlusal 0.8-1.0 mm
Shoulder margin
CMC
• Reduction

Metal Metal + ceramic

Non-functional cusp 1.2-1.5 mm 1.5-2.0 mm
Functional cusp 1.5-2.0 mm 2.0 mm
Facial/lingual 0.8-1.0 mm 1.2-1.5 mm

• Margin
• Metal: 0.5 mm chamfer
• Metal + ceramic: 1.0 mm shoulder
CMC
• Metal

• Ceramic: feldspathic porcelain

CMC
• Factors to consider
• Metal collar margin vs collarless margin
• Subgingival margin: metal collar preferred???
• Extent of porcelain occlusal coverage (only to buccal cusp tip or cover whole
occlusal surface?)