6 Dental Ceramics
6 Dental Ceramics
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Introduction
Ceramic is derived from the Greek word “keramikos” -‘earthen’.
Ceramic is derived from Sanskrit word meaning burnt earth.
material.
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Ceramics
Compounds of one or more metals with a non metallic element that
may be used as a single structural component or as one of the
several layers that are used in the fabrication of a ceramic based
prosthesis . (GPT- 7)
Porcelain
are composed of essentially the same materials, the principle
difference being in the proportion of the primary ingredients (such as
feldspar, silica and kaolin/ clay) and firing procedures (temperature,
method etc).
All porcelains are ceramics, but not all ceramics are porcelains.
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History……..
History of porcelain used as a dental material goes back nearly 250 years.
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History……..
1806 to1808 - Fonzi an Italian dentist introduced the first porcelain teeth that
contained embedded platinum pins. But they never met with great approval
because of their brittleness and opacity. He also used metal oxides to produce 26
shades of color in porcelain.
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History……..
1884 – Dr Charles H.Land pioneered the development of the first glass furnace
for fusing porcelain.
1887 – Dr C.H.Land of Detroit developed the first porcelain jacket crown (PJC)
using the Platinum Foil Matrix technique.
1894 – Levitt Ellsworth Custer developed the first electric furnace for porcelain.
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History……..
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History……..
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History……..
1989 – The concept of all-ceramic post & core was introduced using
Dicor glass-ceramic initially, followed by In-cream, IPS Empress and
Zirconica ceramics.
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History……..
According to Type
1. Feldspathic porcelain
2. Leucite-reinforced porcelain
3. Aluminous porcelain
4. Alumina
5. Glass-infiltrated alumina
6. Glass-infiltrated spinel
7. Glass-ceramic.
Veneers
Post & cores Fixed Partial Dentures
Denture teeth, inlay, onlay, Ceramic brackets for orthodontic treatment.
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(By K.J. Anusavice, 1996, Phillips 10th edition).
2. Swaged metal
3. Glass-ceramic
4. CAD-CAM porcelain
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According to Microstructure
1. Non-Crystalline Ceramics e.g.: Feldspathic porcelain
2. Crystalline Ceramics e.g.: Aluminous porcelain,
Glass-Ceramics
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Classification……
1. Core porcelain
2. Opaque porcelain
7. Glazed porcelains
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Classification……
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2. Castable Ceramics
casting & ceramming
phosphate based
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3. Machinable Ceramics
Milling & machining
Analogous Systems
Grinding techniques :
a) Mechanical e.g. : Celay
b) Automatic e.g. Ceramatic II. DCP
Erosive techniques:
a) Sono-erosion e.g. Erosonic
b) Spark-erosion e.g. Procera
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4. Pressable Ceramics
pressure molding & sintering
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5. Infiltrated Ceramics
slip-casting, sintering & glass infiltration
1) Alumina based
2) Spinel based
3) Zirconia based
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Composition of Dental Ceramics
Ingredients Wt % Function
Oxides of Zr, Sn, Ba, Ti, B Trace As color pigments & shade
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Composition …..
Feldspar
These are a group of naturally occurring minerals, which are complex
alkali aluminium silicate.
Types of feldspar:
Soda feldspar – Sodium alumina ( Na2O Al2O3, 2SiO2, 2H2O)
decreases fusion temperature
Potash feldspar – Potassium aluminium silicate ( K2O, Al2O3, 6SiO2)
increases the viscosity of glass.
During firing, the feldspar fuses and forms a glassy phase that softens
and flows slightly allowing the porcelain powder particles to coalesce
together, thus acts as a matrix and binds silica and kaolin.
Leucite formation
Between 1150o & 1530oc it undergoes incongruent melting and forms
crystals of leucite.
Leucite is a potassium aluminum silicate with large coefficient of
thermal expansion
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Composition …..
Function of Leucite
To raise the coefficient of thermal expansion of porcelain and bring it
closer to that of the metal substrate; consequently increasing the
hardness and fusion temperature.
Strengthening of porcelain
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Composition …..
Kaolin
Hydrated aluminum silicate.
Increases the mouldability of the plastic porcelain
Acts as a binder and helps in maintaining the shape of the unfired
porcelain during firing.
At high temperature, it fuses and reacts with other ingredients to
form the glassy matrix.
Drawback
Opacity even when present in very small quantities.
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Composition …..
Functions
Acts as a filler
Provides strength and hardness to porcelain.
Because it has a high melting point, it maintains the form (shape)
of a freestanding object during firing.
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Composition …..
Boric Oxide
Boric Oxide (B2 O3) although a powerful flux (glass modifier), it can
also act as a glass former and form its own glass network, producing
Boron Glasses.
12%- above which the less stable form BO3 takes over.
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Composition …..
Water
Water is an important glass modifier.
The hydronium ion, H3O can replace Na or other metal ions in a
ceramic that contains glass modifiers.
Significance
This replacement is responsible for the phenomenon of “slow crack
growth” of ceramics that are exposed to tensile stresses and stored in
moist environment
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Composition …..
Coloring Agents
Dental porcelains colored by the addition of concentrated color frits
(generally metallic oxides) into the basic glass.
The glass thus obtained will be highly color saturated and when
ground to a fine powder, can be used in small amounts to modify the
uncolored porcelain powder.
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Opacifying Agents
consists of a metal oxide.
Reduces the translucency of porcelain
Produces dentin colors in particular, which requires greater opacity
than that of enamel colors.
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Mode of Supply
Porcelain kit consists of:
Fine ceramic powders of different shades of enamel, dentin,
core/opaque
Special liquid/ distilled water- vehicle/medium for ceramic powder
(binder)
Stains or color modifiers
Glazes
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Fabrication of Porcelain
However, fabrication of a conventional porcelain restoration is
basically composed of the following stages:
Condensation
Sintering
Glazing
Cooling.
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Mixing of powder and liquid
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Condensation
Process of packing the powder particles together & removing excess
water is known as condensation.
Porcelain should not dry out as the porcelain is held together due to
surface tension.
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Condensation…………
Methods of condensation
1. Spatulation
2. Brush technique
3. Vibration
4. Ultrasonic
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Condensation…………
Spatulation
Article is carefully smoothened with a spatula when extra water from
inside comes to the surface by capillary action which is removed by
blotting paper or linen cloth.
Brush technique
This method employs the addition of dry porcelain powder on the
surface by a brush to the side opposite of wet porcelain to absorb the
moisture.
As the water is drawn towards the dry powder, the wet particles are
pulled together.
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Condensation…………
Vibration Method
This method used mild vibration to pack the wet powder densely on
the underlying framework.
The excess water is blotted away with a clean tissue
An electrically operated brush called the Vibra Brush can also be
used in this technique, which although very efficient, lacks the
flexibility offered by the light weight hand held sable brush.
Ultrasonic method
Ultrasonic vibrations are transmitted electrically & water coming
out is removed using blotting paper or linen cloth.
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Sintering
The process of fusing the condensed mass is known as firing/ sintering.
Porcelain firing unit (muffle chamber) is preheated to 650oC & article to
be fired is placed in a fire clay tray & then placed on a platform.
Preheating the porcelain by placing it in front of the muffle is essential.
Direct heating causes rapid steam production that breaks up the mass.
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Firing procedure………
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Shrinks 30-40% by volume.
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Firing procedure………
Stages of Maturity
Stages are known as bisque/biscuit stages.
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Firing procedure………
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Firing procedure………
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Firing procedure………
Glazing
To remove surface cracks & improve the flexure strength
Two types :
Auto glazing or Self glazing
Over glazing 53
Glazing……
Over glazing
melt outer layer of glaze porcelain which flows into surface cracks.
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Cooling of the fired article
Muffle chamber is gradually cooled according to manufacturer instructions for
porcelain to undergo uniform shrinkage to minimize formation of micro cracks
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Properties
Excellent esthetic properties :: suitable stains can be applied ::
Color stability
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Properties
Low coefficient of thermal expansion, nearly same as tooth enamel
6.4 -7.8 x 10-6/oc.
Dimensional stability: stable after firing
Low thermal conductivity
Compressive strength: good 480 MPA.
Greater surface hardness (460 KHN) than tooth enamel (343 KHN)
: abrasion & wearing of opposing natural tooth and metal
restorations
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Properties
Brittle
Tensile strength - 35-50 MPA
Modulus of elasticity: low 40 GPa
Shear strength: low 110 MPa.
Shrinkage
Volumetric - 35 – 45 %, Linear - 11 – 14 %
Minimized by using lesser binder, proper condensation, build – up of
restoration 1/3rd larger than original size and firing in successive
stages.
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Why are Ceramics weak ?
1. Brittle – Covalent bonds
2. Inherent flaws
3. > # in moist environment
Crack Growth
Sintering Process Griffiths Flaw
On moisture exposure crack growth is accelerated
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Methods
to
Strengthen Porcelain
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According to K. J. Anusavice
(Phillip’s Science of D Materials, 1996)
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A. Methods of strengthening brittle materials
1.Ion exchange
2.Thermal tempering
3.Thermal compatibility Dispersion Transformation
of crystalline toughening
phase
Particle stabilized
Al, dicor zirconia
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Development of residual compressive stresses………..
Limitation
Alumina reinforced materials, Dicor glass-ceramic core and some
conventional feldspathic porcelains with high potash feldspar content.
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Development of residual compressive stresses………..
Thermal tempering
It creates residual compressive stresses by rapidly cooling
(quenching) the surface of the object while it is still hot, and in the
molten state.
This rapid cooling produces a skin of rigid glass surrounding a
molten core.
As the molten core solidifies, it shrinks, creating residual
compressive stresses within the outer surface.
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Development of residual compressive stresses………..
Thermal tempering
This method is used to strengthen glasses used for automobile
windows and windshield, sliding glass doors and diving masks.
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Development of residual compressive stresses………..
Thermal compatibility /
Thermal expansion coefficient mismatching
Veneering ceramic with two or more layers of ceramic
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A. Methods of strengthening brittle materials
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Interruption of crack propagation……
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Interruption of crack propagation……
Transformation toughening
A crystalline material that is capable of undergoing a change of
crystal structure when placed under stress is incorporated.
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B. Methods of designing components to minimize stress
concentrations and tensile stresses
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B. Methods of designing components to minimize stress
concentrations and tensile stresses
The strong, yet ductile metal coping minimizes flexure of the porcelain
Both, the Bonded Platinum foil technique and the Swaged Alloy foil
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Esthetic Properties of Dental Ceramics
The principal reason for the choice of porcelain as a restorative
material is its esthetic qualities in matching the adjacent tooth
structure in translucency, color and chroma.
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Color production in natural teeth
E Incident = E Scattered + E Reflected + E Absorbed +E Transmitted
+E Fluoresced
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Variations of Tooth Color
Incisal third Middle third Cervical/gingival third
Enamel covering with little This region consists Enamel thins down
or no dentin underneath predominantly of dentin, towards the cervical line,
produces a wrap around hence the overlying hence the underlying
effect which results in enamel takes on some of dentinal hue results in a
increased translucency in the dentinal hue (yellow- deep hue ranging from
the incisal third and orange) which is modified orange-yellow to often a
approximal areas. by the translucent blue distinct brown depending
grey enamel resulting in a on the degree of
composite colour. calcification of dentin.
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photo
Shade Guide
Dental porcelains are pigmented by the inclusion of oxides to
provide desired shades.
Specimens of each shade (collectively called a shade guide).
Color matching should be done under two or more different light sources
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Metal Ceramics
Most widely used prosthesis system in fixed prosthodontics
Mechanical properties Esthetic properties
Metal Ceramic
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Parts of Ceramic Crown
Finishing
Sandblasting
Condensation of porcelain
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Ideal Requirements for Metals & Ceramic
Both the metal and ceramics must have coefficients of thermal
contraction that are closely matched such that the metal has a
on the porcelain)
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Ideal Requirements for Metals & Ceramic
Possess adequate mechanical strength for multiple splinting and
bridge work.
Biocompatible
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Types of Metal Ceramic Systems
Foil Copings
Bonded platinum foil coping
Swaged gold foil coping
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High Noble alloys
Metal-ceramic alloys containing > 40 wt% gold and at least 60 wt%
noble metals)
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Noble alloys
According to the ADA classification of 1984,noble alloys contain at
least 25 wt% of the noble metals, but not necessarily contain any
gold.
Pd reduces tarnishing effect of Ag & Cu.
Melting temperature : 1000oC-1250oC.
Base-metal alloys
Cr or Ti alloys : Ni-Cr-Mo-Be, Ni-Cr-Mo, Co-Cr-Mo, Ti-Al-V.
Superior mechanical properties.
Melting temperature : 1300oC or more.
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Advantages of Base Metal Alloys
Higher hardness and elastic modulus (stiffness) values, permit the
fabrication of thinner copings (upto 0.1mm) and thus its use in long
span FPD’s.
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Limiting Features
Higher solidification shrinkage requires special compensatory
procedures to obtain acceptable fitting.
Potential for porcelain delamination due to separation of poorly adherent
oxide layer from the metal substrate.
Potential toxicity of Beryllium and allergic potential of Nickel.
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Non - Cast Metal - Ceramic Systems
Non-Cast Metal-Ceramic Systems are an advancement in the
casting.
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Bonded Platinum Foil Coping
(degassing)
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Swaged Gold Foil Coping
Renaissance type
Use of a golden foil is intended to warm the color of the crown and
facilitate tooth color (Yellowish tinge).
Laminated swaged gold alloy foil supplied in fluted shape
Foil is swaged onto die & flame sintered to form a coping
“Interfacial alloy” powder is applied & fired, & the coping is then
veneered with porcelain
The first strip contains a gold, platinum and palladium alloy and the
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Captek System
The first strip is fired onto a refractory die at 10750 C for 11mins
conventional castings.
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Metal-Ceramic Bonding
Development of a durable bond and the thermal compatibility
between the porcelain and the alloy are the primary requirements
Mechanical interlocking
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Chemical Method
Primary bonding mechanism
In precious metals, tin oxide and iridium oxide are responsible for bond
formation
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Electrodeposition
Ceramic bonding on to metals by electrodeposition of metal castings
Used with Co-Cr, Pa-Ag, stainless steel, high- & low-gold alloys
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Electrodeposition
Advantages
Disadvantages
Flexure strains produced in long span bridges may fracture ceramics
Slightly poor esthetics
Darker margins near the gingiva 99
Bond Failures
O’ Brien (1977)
1.Metal – Porcelain
2.Metal oxide-Porcelain
Results from overproduction of oxide causing sandwich effect between metal and
porcelain.
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Interfacial bond failure occurs primarily at three sites
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Porcelain Teeth
High-fusing or medium-fusing porcelains
Manufactured by packing two or more porcelains of differing
translucencies for each tooth into split metal moulds & then fired at
high temperature
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Porcelain Teeth…..
Advantages
More natural looking than acrylic teeth
Excellent biocompatibility
More resistant to wear than natural teeth
Disadvantages
Brittle
Clicking sound on contact with opposing teeth
Require greater inter-ridge distance (cannot be ground like acrylic
teeth without destroying diatoric channels)
Higher density- increases the weight
Opposing natural teeth wear
All- Ceramic Restoration
Excellent esthetics as all its thickness is for the porcelain.
Earlier made up of traditional low-fusing porcelain fired onto a thin
platinum foil. – PJC
To improve its strength – use of a strong core of ceramics underneath
the traditional porcelain.
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Aluminous porcelains (Hi-Ceram)
Mclean and Hughes - 1965
Contains 40-50% alumina
Strengthens ceramic by interruption of crack propagation
Used to construct core of PJC over which conventional enamel and
body porcelain are condensed
Mc lean 1979 Five year failure rate 2% for anteriors 15% for
posteriors
Seiber et al 1981: light reflection better than porcelain fused to metal
Aluminous porcelains….
Advantages
More esthetic than PFM
Strength twice that of conventional porcelain
Requires less removal of tooth structure
Disadvantages
Inadequate strength to be used on posterior tooth
More sintering shrinkage
Magnesia core porcelains
Di-Cor
Cerestore
IPS Empress
New types
Cera pearl
Centrifugal
casting 2600 f Cast glass coping
Divesting Ceramming
Ceramming Ceramming oven Crystallised glass coping
Cerramming done from room temparature- 1900 f for 1½ hrs and sustained
for 6hrs inorder to form tetra silicic flouro mica crystals
Disadvantages
Abrasion against natural teeth is higher than that of conventional
feldspathic porcelain.
Poor marginal fit due to sintering shrinkage
Requires special equipment for fabrication
Indications
Inlays
Veneers
Low stress crowns and veneers
IPS-EMPRESS (Pressable Ceramic)
Hot pressed ceramics
2 types
IPS Empress IPS Empress 2
Crowns are formed using the lost-wax process and hotpressing leucite
Indications Contraindications
Clinical crown length of the tooth is
Anterior crowns
exceptionally short
Inlays tooth, reduction would compromise
Laminate veneers resistance and retention of the
Post and cores preparation.
Parafunctional habit
Advantages:
High flexural strength (126-165 Disadvantages:
Mpa ) Limited to single tooth restoration
No shrinkage after pressing Potential to fracture in posterior
Excellent fit and esthetics areas
Stability of shape
IPS Empress
IPS Empress
PROPERTIES
Sprued pattern
INDICATIONS
Three unit bridges for the anterior and posterior regions upto the
first premolar
Crowns in anterior and posterior regions
CONTRAINDICATION
Short crown length
Parafunctional habits
( Slip casting technique )
Saadoun 1989
In-ceram
Advantages
Four times more strength than other ceramics
Enhanced marginal adaptation
Disadvantages
Poor esthetics
Complex procedure
Cost
Indications
Anterior crowns and bridges
Posterior crowns
Cross section of an INCERAM crown
Al2O3 slip Glass infiltration
Glass infiltration
Shrinkage of dies 4hrs 1100c
Finished In-
Ceram copings Finished crowns
(Air abraded) Application of body
and incisal porcelain
Cost
Marginal inaccuracy
Technique sensitive
A tracing tool passes over the pattern and guides a milling tool which
grinds a copy of the pattern from a block of ceramic (Inceram or
Inceram spinell)
It is then infiltrated with glass and veneered with porcelain and fired to
complete the restoration
Celay
Introduced in 1992, by Dr. Stefan Eeidenbaez, Zurich
Uses copy-milling technique to manufacture ceramic inlays or onlays
from resin analogs
It is fine grained feldspathic porcelain that is said to reduce the wear of
antagonist tooth structure
Mechanical device based on pantographic tracing of a resin inlay or
onlay fabricated directly onto the prepared tooth or onto the master die
Material used is a ceramic blank available in different shades, contains
sanidine as the major crystalline phase within a glassy matrix.
Celay
Scanning of the prepared cavity is done with a 3-D scanner,
restoration is designed from the image shown on the computer
screen by using a series of icons or symbols
Can electronically design the restoration by moving a cursor along
the limits of the preparation, thereby defining its boundaries
Design phase usually takes from 2 to 8 minutes
After data have supplied, the computer selects the size of ceramic
block to be used in the milling process
Diamond wheel is driven by the electric motor, which generally takes
4 to 7 minutes to complete the procedure
CELAY
It is then infiltrated with glass and veneered with porcelain and fired to
complete the restoration
Cementation involves etching the tooth with a 37 % solution of
phosphoric acid for 20 seconds, tooth is then washed and dried and a
bonding agent is applied, ceramic restoration is etched on its
undersurface, outside the mouth
Dual cure microfill composite resin luting agent is used to bond the inlay,
onlay or veneer, after photocuring the occlusal anatomy can be created,
accomplished intraoraly with fine-particle diamonds.
CELAY
ADVANTAGES
Single appointment
Bonded restoration for strength.
Reduced marginal gap
Hardness similar to enamel
Less fracture of the inlay because it is milled from a solid
Homogeneous block
Excellent polishing characteristics, esthetics
Preparation, fabrication, Cementation in 1 to11/2 hours.
Procera
Introduced in 1994
Embraces the concept of CAD/CAM to fabricate dental restorations
Available as Procera laminate
Procera crowns
Procera Bridge
Procera Implant Bridge
This crown is composed of a densely sintered high-purity
aluminum oxide coping that as combined with the low-fusing
Allceram veneering porcelain
Content of aluminum oxide in these coping is 99.9% and the
strength for this ceramic material is highest among all-ceramic
restoration
PROCERA PREPARATION
After the cut dies of the preparation is made, the milling center
will digitalize the model by using the optical scanner Lava Scan
The restoration will then be virtually designed on the monitor
using a CAD, the data is sent to Lava Form, a milling unit (CAM)
The restoration is milled from a pre-sintered zirconia blank,
which can be colored in 8 different shades and which is then
sintered to its final density in the furnace
The milling center returns the finished framework to the lab who
will then veneer the framework with Lava Ceram and give it the
final artistic finish.
LAVA
ADVANTAGES
With the classic color scheme, all tooth shades can be easily
reproduced, special effect components and stains lead to a natural
esthetic
High level of biocompatibility
Anterior and posterior crown and bridge
Conclusion
The difference with & without Ceramics is self evident
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References
Journal of Indian Prosthodontic society –oct.2002,vol.2
no.3
Notes on dental materials- V K Subbarao
Basic dental materials- Manappallil
The science and art of dental ceramics –Mc lean vol 2
157
References
Anusavice : Philips’ Science of Dental Materials Xth & XIth
Edn.
Craig : Dental Materials : Properties & Manipulation VI th,
VIIth & VIIIth Edn.
J. F. McCabe : Applied Dental Material VIIth Edn.
Jack Ferracane : Materials in Dentistry Principles &
Application
158
Repair of Ceramic Restoration
Ceramic liquid does not wet & bond with metal surface.
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