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All Ceramic Crown
All Ceramic Crown
All Ceramic Crown
Advantages
Disadvantages
Brittle
Indications
Lemoncitric damage
Tetracycline discoloration
Closing diastema
Contraindications
when a more conservative restoration can be used.
Contraindications
Short clinical crown-inadequate tooth support-half moon fracture. Patients with parafunctional habits e.g: clenching and bruxism.
Centric contact --- limited to the middle third of the lingual surface (case selection).
Opposing axial walls converge minimally with 5-10 degree taper. Roundation of all sharp line angles.
ARMAMENTARIUM
High- and low-speed handpieces Flat-end tapered diamond Small wheel diamond Long needle diamond End cutting diamond Finishing stones and carbides
Incisal reduction
Incisal grooves---- 2 mm Done with flat-end tapered diamond Incisal edge flat & placed 45 degree inclination toward the linguogingival area to meet forces on the incisal edge & prevent shearing
Labial reduction
Depth-orientation grooves are placed on Labial Surfaces ----- to gauge the depth of preparation Labial grooves 1.2 1.4 mm 3 grooves parallel to gingival one-third. 2 grooves parallel to incisal two-third Two plane reduction to achieve good esthetics without encroaching the
pulp
Labial reduction
First incisal two third preparation Then the one-third : this reduction extends around the labioproximal line angles
End of diamond point will create shoulder finish line, while axial reduction is done by sides of the diamond
palatal reduction
Is done by Small Wheel or football diamond Overshortening the lingual wall will decrease the retention of the preparation palatal Axial Reduction by Flat-end tapered diamond Radial Shoulder margin (1mm)--- smooth continuation of labial & proximal shoulder
Proximal reduction
Opposing proximal walls converge incisally 5-10 degrees Instrument----- tapered with flat diamond stone Depth of reduction ----- 1-1.5 mm Shoulder F.L 1 mm in depth
Avoid injury of neighbouring tooth by matrix band Enamel lip Correct direction of the handpiece
a) Knife edge,
b) Bevel,
c) Chamfer, d) Shoulder,
e)
Common errors
Short preparation
Excessive taper
1- Castable ceramics
centrifugal casting (dicor) heat pressed ceramics Empress 2
IPS Empress
A.dicor
A polycrystalline glass ceramic material
The crystalline phase is composed of tetrasilicic flouoro mica which provides strength
Fabrication method uses lost wax & centrifugal tech Applied as : inlays Onlays laminate veneers crowns
2-slip casting
(glass infiltration ceramics)
Inceram Inceram spinell Inceram zirconia Core is strengthened by addition of zirconia to the alumina More opaque than inceram spinell Recommended for posterior bridges
Core of alumina is filled with lanthanum aluminosilicate glass One of the strongest ceramics 350-500 Mpa
2nd generation More translucent core made from magnesium alumina powder Strength 350 Mpa
3-Machinable ceramics
CAD/CAM SYSTEM
possibility to design and fabricate all ceramic restorations in a single appointment
Advantages
saving time
eliminate the possibilities of inaccuracies developed with indirect techniques Cut the chain between dental clinic and laboratory
CAD/CAM (Cerec)
The dentists takes an optical impression of the preparation using an intraoral camera A design of the restoration is made from the acquired data, using the computer
The restoration is milled from a ceramic block using diamond stones by milling machine
Cerec systems
Cerec I : the occlusal anatomy& contacts were developed by grinding intraorally -------- Had poor marginal fit Cerec II : the occlusal surface is also milled produce crowns,inlays,onlays & veneers Cerec III : data obtained is 3-D -------- more marginal accuracy
Procera system
The die is mechanically scanned by the technician & data is send to procera lab Data is processed & enlarged 20-30 % to compensate for ceramic shrinkage Procera can produce posterior crowns & FPD due to high flexural strength 650 Mpa