scholarly journals The 7/8 Crown: A Lost Art

2012 ◽  
Vol 37 (5) ◽  
pp. 453-457 ◽  
Author(s):  
ST McGill ◽  
JR Holmes

SUMMARY Historically, the longevity of teeth restored with gold inlays, onlays, crowns, and partial veneer restorations is excellent. However, in-office computer-aided design and computer-aided manufacturing restorations, laboratory-constructed all-ceramic bonded restorations, and conventional ceramo-metal restorations are more common. The high price of gold, the difficulty of the preparation, and the fact that most dental schools are de-emphasizing the teaching of partial veneer restorations has created a situation whereby the 7/8 crown is rarely viewed as the treatment of choice. Time and experience will determine if the new ceramic materials, along with the all-important bonding agents, can achieve the success of a well-done, all-gold restoration.

2018 ◽  
Vol 19 (2) ◽  
pp. 196-204 ◽  
Author(s):  
Apa Juntavee ◽  
Niwut Juntavee ◽  
Phuwiwat Saensutthawijit

ABSTRACT Aim This study evaluated the effect of light-emitting diode (LED) illumination bleaching technique on the surface nanohardness of various computer-aided design and computer-aided manufacturing (CAD/CAM) ceramic materials. Materials and methods Twenty disk-shaped samples (width, length, and thickness = 10, 15, and 2 mm) were prepared from each of the ceramic materials for CAD/CAM, including Lava™ Ultimate (LV), Vita Enamic® (En) IPS e.max® CAD (Me), inCoris® TZI (IC), and Prettau® zirconia (Pr). The samples from each type of ceramic were randomly divided into two groups based on the different bleaching techniques to be used on them, using 35% hydrogen peroxide with and without LED illumination. The ceramic disk samples were bleached according to the manufacturer's instruction. Surface hardness test was performed before and after bleaching using nanohardness tester with a Berkovich diamond indenter. Results The respective Vickers hardness number upon no bleaching and bleaching without or with LED illumination [mean ± standard deviation (SD)] for each type of ceramic were as follows: 102.52 ± 2.09, 101.04 ± 1.18, and 98.17 ± 1.15 for LV groups; 274.96 ± 5.41, 271.29 ± 5.94, and 268.20 ± 7.02 for En groups; 640.74 ± 31.02, 631.70 ± 22.38, and 582.32 ± 33.88 for Me groups; 1,442.09 ± 35.07, 1,431.32 ± 28.80, and 1,336.51 ± 34.03 for IC groups; and 1,383.82 ± 33.87, 1,343.51 ± 38.75, and 1,295.96 ± 31.29 for Pr groups. The results indicated surface hardness reduction following the bleaching procedure of varying degrees for different ceramic materials. Analysis of variance (ANOVA) revealed a significant reduction in surface hardness due to the effect of bleaching technique, ceramic material, and the interaction between bleaching technique and ceramic material (p < 0.05). Conclusion Bleaching resulted in a diminution of the surface hardness of dental ceramic for CAD/CAM. Using 35% hydrogen peroxide bleaching agent with LED illumination exhibited more reduction in surface hardness of dental ceramic than what was observed without LED illumination. Clinical significance Clinicians should consider protection of the existing restoration while bleaching. How to cite this article Juntavee N, Juntavee A, Saensutthawijit P. Influences of Light-emitting Diode Illumination Bleaching Technique on Nanohardness of Computer-aided Design and Computer-aided Manufacturing Ceramic Restorative Materials. J Contemp Dent Pract 2018;19(2):196-204.


2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ki-Hong Lee ◽  
In-Sung Yeo ◽  
Benjamin M. Wu ◽  
Jae-Ho Yang ◽  
Jung-Suk Han ◽  
...  

Purpose. The purpose of this study was to investigate the marginal fit of metal-free crowns made by three different computer-aided design/computer-aided manufacturing (CAD/CAM) systems.Materials and Methods. The maxillary left first premolar of a dentiform was prepared for all-ceramic crown restoration. Thirty all-ceramic premolar crowns were made, ten each manufactured by the Lava system, Cercon, and Cerec. Ten metal ceramic gold (MCG) crowns served as control. The marginal gap of each sample was measured under a stereoscopic microscope at 75x magnification after cementation. One-way ANOVA and the Duncan’s post hoc test were used for data analysis at the significance level of 0.05.Results. The mean (standard deviation) marginal gaps were 70.5 (34.4) μm for the MCG crowns, 87.2 (22.8) μm for Lava, 58.5 (17.6) μm for Cercon, and 72.3 (30.8) μm for Cerec. There were no significant differences in the marginal fit among the groups except that the Cercon crowns had significantly smaller marginal gaps than the Lava crowns(P<0.001).  Conclusions. Within the limitation of this study, all the metal-free restorations made by the digital CAD/CAM systems had clinically acceptable marginal accuracy.


2013 ◽  
Vol 07 (S 01) ◽  
pp. S115-S118 ◽  
Author(s):  
Rafael Ferrone Andreiuolo ◽  
Carlos Eduardo Sabrosa ◽  
Katia Regina H. Cervantes Dias

ABSTRACTThe use of bi-layered all-ceramic crowns has continuously grown since the introduction of computer-aided design/computer-aided manufacturing (CAD/CAM) zirconia cores. Unfortunately, despite the outstanding mechanical properties of zirconia, problems related to porcelain cracking or chipping remain. One of the reasons for this is that ceramic copings are usually milled to uniform thicknesses of 0.3-0.6 mm around the whole tooth preparation. This may not provide uniform thickness or appropriate support for the veneering porcelain. To prevent these problems, the dual-scan technique demonstrates an alternative that allows the restorative team to customize zirconia CAD/CAM frameworks with adequate porcelain thickness and support in a simple manner.


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