Full Metal Crown Porcelain Fused to Metal Crown
Indications :
1. When tooth structure was lost by caries,
trauma, or other reason and it can not be
restored with other operative procedures
such as filling or partial veneer crown.
2. Teeth with extensive caries and large
amalgam or composite restoration.
3. Restoration of choice whenever maximum
retention and resistance are needed ( on
short clinical crown or when high
displacement forces are anticipated, such as
for the retainer of a long-span bridge,
grooves should be incloded as additional
retentive features. )
4. As a bridge retainer.
5. On teeth receive clasp for removable
partial denture.
Containdications :
1. When aesthetic is needed, the restoration
may be restricted to maxillary molars and
mandibular molars and premolars.
2. When the other conservative restoration
is indicated.
Advantages :
1. Stronger than the other restoration.
2. Less tooth structure is remover compared
with porcelain jacket crown, or porcelain
fused to metal crown.
3. Easy to prepare compared with other types
of crown.
4. It has more retention and resistance to
displacement compared with other types of
crown.
Disadvantages :
1. Display of metal ( unaesthetic )
2. Difficulty to test vitality of the pulp.
Indications :
1. Improvement of aesthetic as discolored teeth,
if porcelain jacket crown is contraindicated
2. Teeth with extensive caries and large amalgam
or composite restoration, if FMC is
contraindicated.
3. In endodontically treated teeth, if FMC is
contraindicated.
4. As a bridge retainer.
Containdications :
1. Teeth with large pulp chamber (young patient).
2. Intact buccal wall.
3. Teeth with short crown.
4. When the full metal restoration is indicated
Advantages :
1. It combines the strength of full-metal crown
and the esthetic of porcelain jacket crown
2. It can be used on anterior and posterior teeth.
Disadvantages :
1. It is not conservative, because there is deep
reduction on the facial surface to provide space
for metal and porcelain, to achieve a good
esthetic result.
2. It may be subjected to fracture, because
porcelain is brittle.
3. Difficult to obtain accurate occlusion in glazed
porcelain.
4. Shade selection can be difficult.
5. Less esthetics than porcelain jacket crowns.
6. Less strength than full-metal restoration.
Full Ceramic Crown
Indications :
1. Where a high esthetic requirement exists, and a more
conservative restoration would not be adequate
2. Considerable proximal caries.
3. Endodontically treated teeth with post and core.
4. No occlusion or favorable distribution of occlusal forces.
Containdications :
1. When a more conservative restoration can be used.
2. Rarely are recommended for molar teeth.
3. When superior strength is needed, and metal-ceramic crown
more appropriate.
4. Significant caries with insufficient coronal tooth structure for
support.
5. Very short and thin teeth.
6. Patient with edge to edge-to-edge or heavy occlusion,
occlusion, that will produce stress in the incisal area; this may
lead to fracture of the crown.
7. When the opposing teeth occlude on the cervical fifth of the
lingual surface. Tension will be produced, and “half-moon”
fracture is likely to occur.
Advantages :
1. It is capable of producing the best cosmetic or
esthetic effect of all dental restoration.
2. Good tissue response even for subgingival margins.
3. More conservative reduction of the facial surface
than the metal-ceramic crown.
Disadvantages :
1. Reduced strength compared to metal-ceramic crown.
2. The porcelain is a brittle substance, so it s susceptible to
fracture.
3. In general, it can be used as single restoration only.
4. Wear has been observed on the functional surfaces of the
opposing natural teeth.