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All ceramic crown v. PFM

User Level:
Patient
Posted by: Charles24  (5 years ago)
In need of an upper 3 tooth bridge. Dentist also wants to crown forward through #7. I understand the pontic and the two abutments will be PFMs. How far forward should the PFMs go before using all ceramic? I understand there is a trade-off for aesthetic properties versus biting strength. Is a PFM appropriate for a cuspid (#6)? How well can the two types of crowns match each other in the mouth? Thanks.
User Level:
Dentist
In need of an upper 3 tooth bridge. Dentist also wants to crown forward through #7. I understand the pontic and the two abutments will be PFMs. How far forward should the PFMs go before using all ceramic? I understand there is a trade-off for aesthetic properties versus biting strength. Is a PFM appropriate for a cuspid (#6)? How well can the two types of crowns match each other in the mouth? Thanks.

First of all, why is an implant to replace #7 not being considered. That would be far and away my first choice. I cringe at the thought of cutting down two virgin teeth on either side of the space.

I was skeptical about all-zirconium bridges until about a year ago, but have been using them now with less problem than porcelain and metal bridges. All-Zircona bridges are nearly impossible to break. They do require custom staining to look natural. But with this done by a good lab tech, the result is more natural than porcelain and metal bridges.
Posted 5 years ago
User Level:
Patient
Posted by: Charles24  (5 years ago)
I have several failed restorations involved including a 10 year old labial composite on #7. Teeth involved have multiple caries. Bridge will span 2-4. Thanks.
User Level:
Dentist
I have several failed restorations involved including a 10 year old labial composite on #7. Teeth involved have multiple caries. Bridge will span 2-4. Thanks.

If it were me, I would use lithium disilicate (E-Max or similar) crowns on the anterior, and Zirconium crowns and bridges on the molars. However, single 2nd molars I would consider gold crowns.
Posted 5 years ago
User Level:
Patient
Posted by: Charles24  (5 years ago)
Thank you, Dr. Henry, for your opinion.
User Level:
Patient
Posted by: jenna.loza1  (5 years ago)
Yep emax is great or all zirconia but no need for PFM
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