TYPES OF CROWN

DEFINITION OF CROWN

An artificial replacement that restores missing

tooth structure by surrounding part or all of
remaining tooth structure with a material such
as metal, porcelain or combination of materials
such as metal and porcelain.
CROWN
DIFFERENT TYPES OF CROWNS
Anterior complete crowns
for vital teeth

Anterior complete crowns

for root filled teeth

Posterior complete crowns

Posterior partial crowns

 A) ANTERIOR COMPLETE CROWNS FOR VITAL
TEETH
I. Ceramic Crowns
II. Metal Ceramic Crowns
III. Other types of Crowns
I) CERAMIC CROWNS

➢ Most esthetically pleasing

➢ No metal to block light transmission
➢ Can be virtually indistinguishable from
unrestored teeth
ADVANTAGES
➢ Highly aesthetic and high strength materials
➢ Resist plaque accumulation.

DISADVANTAGES
➢ More tooth reduction
➢ Brittleness, in most cases is a disadvantage
INDICATIONS
➢ Where there are high aesthetic demands.
(particularly in incisal area)

CONTRAINDICATIONS
➢ Where more conservative restoration can be carried
out.(same for all crowns)
➢ Providing a shoulder of 1 mm would compromise
support.
(it should be of 2mm)
II) METAL CERAMIC CROWNS

Dental porcelain can be bonded to a variety of

metal alloys such as Gold, Silver, nickel etc
ADVANTAGES
➢ High strength.
➢ Adequate tooth reduction can be done on
palatal side in teeth which are severely worn
by erosion.
DISADVANTAGES
➢ As crown is stronger than natural dental
tissues so an accidental blow can result in
fracture of root.
➢ To achieve aesthetics margin is often placed
subgingivally, causing periodontal problems
INDICATIONS
➢ Aesthetics
➢ Can serve as a retainer for fixed dental
prosthesis due to its metal substructure.

CONTRAINDICATIONS
➢ Active carious lesions & perio problems.
➢ Young patients with large pulp chambers.
III) OTHER TYPES OF CROWNS

➢ Cast metal crowns with acrylic or composite

facings.
➢ Fibre-reinforced composite crowns.
B) ANTERIOR CROWNS FOR ROOT FILLED TEETH

➢ Post and core & separate crown

➢ One-piece post crown
 C) POSTERIOR COMPLETE CROWNS

I. Cast metal crowns

II. Metal-ceramic crowns
III. Ceramic crowns
I) CAST METAL CROWNS

Traditionally a GOLD Alloy is used for posterior

metal crowns but because of high cost many
alternative alloys are introduced containing less
gold and in some cases none.
ADVANTAGES

➢ Greater retention and resistance

➢ Less tooth preparation required.

DISADVANTAGES
➢ Poor esthetics
INDICATIONS
➢ Tooth with extensive coronal destruction
➢ On short clinical crowns
➢ Where maximum retention and resistance is
required
CONTRAINDICATIONS
➢ High aesthetic need
II) METAL CERAMIC CROWNS
Advantages
➢ Principal advantage is their
appearance.
➢ Porcelain can be used on buccal
and occlusal surfaces of lower
teeth and reverse is true for
upper jaw.
Disadvantages
➢ In short clinical crowns there
comes a problem of retention.
➢ With an amalgam core greater
reduction may expose the pins.
INDICATIONS
➢ Aesthetics
➢ Retention and resistance required

CONTRA INDICATIONS
➢ Active carious lesions & perio problems.
➢ Young patients with large pulp chambers.
III) CERAMIC CROWNS
ADVANTAGES
➢ Reasonable to use with a post and
core
➢ Better appearance then a metal
ceramic crown

DISADVANTAGES
➢ More tooth preparation is required
INDICATIONS

➢ Aesthetic

CONTRAINDICATIONS
➢ Providing a shoulder of 1 mm would
compromise support.
 D) POSTERIOR PARTIAL CROWNS

I. Three-Quarter Crowns
II. Seven-Eighths Crowns
I) THREE-QUARTER CROWNS

➢ They cover four-fifth of

the tooth’s surface,
buccal surface remains
intact.
➢ They are retained by
grooves on mesial,
distal and occlusal
surfaces.
➢ They are always made
of cast metal.
II) SEVEN EIGHTH CROWNS

➢ Covers all but mesial buccal cusp of an upper

molar tooth.
➢ Retained by intracoronal features or adhesive
techniques.
ADVANTAGES

➢ More conservative
➢ Possible to test vitality of tooth via buccal
surface.
➢ Periodontal problems are less.

DISADVANTAGES
➢ Preparation is bit difficult

➢ Less retention
INDICATIONS

➢ Teeth with sufficient bulk

➢ Can be used for retainers for fixed partial
denture, bridge or spring cantilever design.
CONTRAINDICATIONS
➢ Malpositioned teeth

➢ Short clinical crowns

➢ Teeth that are thin bucco-lingually

TEKNIK PREPARASI PFM FULL CROWN
FINISHING LINE / MARGIN
DEPTH ORIENTATION GROOVE