THE METAL CERAMIC CROWN

PREPARATION
 Advantages

 Combines the esthetics of all ceramic with

cast metal restorations
 Natural appearance can be matched
 Greater retention
 Greater resistance form
 Greater strength
 DISADVANTAGES
 Removal of tooth structure is extensive
 Sub gingival extension
 Inflammation of the gingival tissues
 Inferior esthetics as compared to all ceramic
restorations
 Electric vitality testing is not possible after
cementation
 Brittle
 Difficult to select shade accurately
 INDICATIONS
 To strengthen the endodontically treated teeth
 Teeth that exhibit extensive coronal destruction
by caries or trauma
 Restoration of choice when maximum retention
and resistance is needed
 Grooves can be included for long span FPD
 Restoration of choice when esthetics is required
 Is indicated as an abutment for fixed partial
denture.
 CONTRAINDICATIONS
 If treatment objectives can be met with a more
conservative restoration
 Whenever an intact buccal or lingual wall exists,
use of a partial coverage restoration should be
considered
 Patients with active caries & periodontal disease
 If adequate buccal contour exists or can be
obtained through enamel modification
PREPARATION
 ARMAMENTARIUM
 Round tipped rotary diamonds (regular
grit for reduction and fine grit for
finishing) or carbides
 Football or wheel shaped diamond (for
lingual reduction)
 Flat ended, tapered diamond (for shoulder
preparation)
 Finishing stones
 Explorer and periodontal probe
 Steps
 Guiding grooves
 Incisal (Occlusal) reduction
 Labial (Buccal) reduction
 Axial reduction of the proximal and lingual
surfaces
 Finishing
 Evaluation
 Step by step
 Guiding grooves
 Place three depth grooves one in the center
of the facial surface and one each in the
approximate locations of the mesiofacial and
distofacial line angles
 Perform the facial reduction in the cervical
and incisal planes, cervical will determine the
path of insertion and withdrawal.
 Place three depth grooves in the incisal edge
of an anterior tooth about 1.8mm.
 Incisal (Occlusal) reduction
 The completed reduction of the incisal edge
on an anterior tooth should allow 2mm for
adequate material thickness to permit
translucency in the completed restoration.
 Posterior teeth requires less upto 1.5mm
 Excessive occlusal reduction must be avoided
 Remove islands of remaining tooth structure
 Labial (Buccal) reduction
 Remove the remaining tooth structure
between depth grooves creating a shoulder at
cervical margin. 0.5mm to 1mm subgingival
can be produced.
 Shoulder should be 1mm wide and should
extend into the embrasure
 Supragingival margin is always preferred from
periodontal point of view
 The configuration of the margin is also
determined at this time
 Axial reduction of the proximal and lingual
surfaces
 6 degree taper is recommended
 1 mm clearence for metal contact and more
for ceramic contact
 Bur should be kept parallel to the tooth
 Use foot ball shaped diamond for the lingual
surface of the anterior teeth
 Finishing
 Smooth transition from incisal to axial
surfaces facilitate impression making, waxing,
investing and casting
 Fine grit diamond or carbide bur is used

 Evaluation