Fixed Indirect Prosthodontics

Includes inlay/onlay, veneer, crown & bridge work.

All Ceramic

All-ceramic describes restorations fabricated without cast metal. All-ceramic restorations can be crowns, bridges, inlays/ onlays, and veneers. It’s biocompatible, aesthetic, and sturdy option for restoring a damaged or decayed tooth.

  •  All-ceramic is a compatible material.
  •  The all-ceramic crown offers superior aesthetic.
  •  Ceramic is a hard material that is more resistant to wear.
  •  Oral fluids are less likely to degrade an all-ceramic crown.
  •  Ceramic is less sensitive to heat and cold.

Milled by our highly-skilled technicians on some of the most advanced CAD/CAM equipment in the industry, our Full Contour Zirconia restorations are the finest Zirconia crowns available. Although ZIrconia offers some of the highest flexural strength of any ceramic restoration, it is still gentle enough to protect bruxers opposing enamel.

  • Designed to resist the hardest challenges of the verbal environment.
  • An stylish elective to cast gold and metal occlusal PFMs.
  • Great for bruxers who have crushed common teeth or past dental restorations.

Indications: indicated for posterior or anterior crowns, bridges up to 16 units, veneers, inlays/ onlays, screw-retained crowns and bridges, and implant.

Material composition: monolithic zirconia.

Layered Zirconia restorations combine both the highest esthetics and the strength and the flexibility you need for all posterior and anterior cases. With layered Zirconia there is no metal to show through and no unsightly black lines at the gingival margins. Layered Zirconia crowns and bridges are cemented conventionally with resin ionomers cement and demonstrate outstanding biocompatibility in the mouth. They can easily be adjusted chair-side with a green stone or a diamond bur.

Indications: indicated for individual or splinted crowns & bridges up to 14 units.

Material composition: high-strength ceramic pressed/layered over zirconium oxide understructure.

Zirconia coping is a category of dental Zirconia. This anterior-grade formulation is made utilizing exclusive preparing, which comes about in common translucency, wondeful shade-matching and un-common quality.

  • Optimized combination of quality and translucency.
  • Enhanced shade coordiating for unsuprising results.

Indications: ideal for anterior and posterior single-unit crowns, anterior bridges up to 6 units, posterior bridges up to 4 units, screw-retained crowns, veneers, inlays and onlays.

Material composition: Monolithic zirconia.

Inlays/ onlays are indirect fillings made of porcelain that fit into & on the tooth. Inlays & olays are used to make the tooth stronger by holding it together, as a natural and esthetically desirable color. These fillings are similar to regular fillings (composite fillings), except that they are firmly cemented by the dentist and are made in the dental laboratory as opposed to being moulded in the shape of the mouth. Inlays/ onlays are used in cases where there is inadequate tooth structure to support a filling but the tooth does not require a crown.

The advantage of inlay/ onlay fillings is that they are longer lasting and can be aesthetically made perfect in a laboratory.

Emax

Emax is a monolithic, lithium disilicate ceramic that delivers outstanding esthetic and precision fit. It is an affordable alternative to PFMs and Zirconia-based restorations. Emax provides outstanding esthetics and precision marginal accuracy in both pressed and CAD/CAM milled applications. With Emax, you can offer your patient awesome restorations with demonstrate high mechanical strength. Its unique formulation provides an average flexural strength of 500 Mpa, making it the ideal high-strength solution for single-unit posterior and anterior crowns, veneers, inlays, onlays, screw-retained implant crowns, three-unit anterior bridges, or restorations with minimum preparation dimesions.

  • Fabulous esthetics and tall strength.
  • Versatile applications and broad sign range.
  • MInimally obtrusive planning and cement cementation.
  • Kind to contradicting dentition.

Indications: IPS e.max is ideal for anterior single crowns, inlays, onlays, veneers and bridges up to 3 units.

Emax Press lithium disilicate glass ceramic, offers accuracy of fit, shape annd function as you expect it from your press ceramic, as well as outstandingly high strength of 400Mpa. Long-term clinical studies confirm the good material properties. The material is available in four levels of translucency and impulse shades ad thus provides expressive esthetic feature – independent of the preparation. Hence, even for your patients with devitalized tooth structure or metal post build-ups you do not have to forgo esthetic allceramic IPS e.max Press restorations. Inform our laboratory about the die shade in addition to the tooth shade and our dental technicians then selects the IPS e.max Press material in the required opacity to redesign the true-to-nature esthetic appearance.

Indication:

  • Thin veneers (0.3 mm), veneers• Inlays/onlays, table tops (occlusal veneers)
    • Crowns in the anterior and posterior region
    • Bridges in the anterior and premolar region
    • Implant superstructures
    • Hybrid abutments and abutment crowns

Emax also allows you to fabricate implant-supported hybrid restorations – by combining a titanium base (Ti base) with the lithium disiilicate glass-ceramic (LS2) from Ivoclar Vivadent. This product is available in hybrid abutments and hybrid abutment crowns.

Advantages:

  • Pressed hybrid abutment solutions from your laboratory.
  • High, lasting esthetics, also in cases of gingiva recession, thanks to tooth-coloured hybrid abutments.
  • Hybrid abutment crowns (two-in-one) for function, efficiency and access to the screw at any time.
  • Excellent bond strength between LS2 and the Ti base achieved with Multilink Hybrid Abutment.

Porcelain Fused to Metal (PFM)

PFM is a standard restoration procedure that entails bringing back your beautiful smile. PFM’s can be simply be explained as a hybrid between all-metal and all-ceramic detal crowns. This is because they are made of both materials. A metal alloy is used to make a thin thimble-like cap that fits snugly over the tooth. Porcelain is then fused over the structure. It forms the shape of the crown and gives it the white tooth-like structure that is much needed.

PFM crowns are ideal because they give an excellent balance between resilience and esthetics. The metal portion that is underlying provides a long-listing durability while the porcelain layer on the outer region brings out a natural looking authentic look.

Semi-precious metal alloys or noble alloys have at least 25% noble metal content and may include tin, zinc, indium, cobalt, ruthenium or gallium. The colour of semi-precious can be white or silver.

Features:

  • Used for over 60 years.
  • Alloy options include high noble, noble (semi-precious).

 

Indications:

  • Anterior/ posterior crowns.
  • Bridges of any span.
  • Implant crowns.
  • Crowns under partials.

Gold alloys offer the best properties, carry the highest strength, durability, and cause no allergy. Though the name says gold, a gold alloy is a combination of gold, platinum, silver, palladium, copper, and tin. The first four metals in a gold alloy are known as noble metals as they have superior properties. The last two metals are known as base metals. The higher the amount of noble metals present in a gold alloy, the higher is the price and better are the properties.

The composition of gold alloys varies based on the use. PFM crowns, gold inlays, and gold crowns / bridges carry a different composition based on the properties needed.

Gold alloys offer the best properties, carry the highest strength, durability, and cause no allergy. Though the name says gold, a gold alloy is a combination of gold, platinum, silver, palladium, copper, and tin. The first four metals in a gold alloy are known as noble metals as they have superior properties. The last two metals are known as base metals. The higher the amount of noble metals present in a gold alloy, the higher is the price and better are the properties.

The composition of gold alloys varies based on the use. PFM crowns, gold inlays, and gold crowns / bridges carry a different composition based on the properties needed.

A white, high noble porcelain dental alloy that has an unusually light oxide, lighter than most other alloys with a similar gold content.

Full Metal Cast (FMC)

Full-cast restorations are the traditional standard for long-term durability of posterior crowns. This method willl be an awesome option for patients whom you know are less concerned about achieving perfect esthetics and simply want the best the protection for their teeth. Modern dental alloys have been engineered to provide excellent physical properties, meeting a wide variety of patient requirements.

  • Strong
  • Versatile
  • Used for over 60 years.
  • Alloy options include high noble, noble (semi-precious) or non-precious alloy.

Full metal cast (FMC) may be utilised in cases where the aim is to be connservative with crown preparation.

The non-precious alloy is free of nickel and beryllium which ensures that it is biocompatible.

Benefits:

  • Good marginal integrity.
  • Strength and durability.
  • Restoration lifespan can be 30 years or more with good oral hygiene practices.
  • Tried and true certified alloys.
  • Anterior/ posterior crowns.
  • Bridges of any span.
  • Implant crowns.
  • Crowns under partials.

Semi-precious metal alloys or noble alloys have at least 25% noble metal content and may include tin, zinc, indium, cobalt, ruthenium or gallium. The colour of semi-precious can be white or silver.

Indications:

  • Anterior/ posterior crowns.
  • Bridges of any span.
  • Implant crowns.
  • Crowns under partials.

The yellow gold if of the highest quality and durability. Gold is superior dental alloy utilized.

The gold alloy is composed of many different types of elements: noble metals: gold, platinum, palladium, silver, and base metals: copper, tin and others. The proper gold alloy should contain at least 60% noble metals.

 Advantages of gold alloys:

  • Gold alloy never corrodes. Some metal alloys, under the influence of saliva, may suffer in time a phenomenon called corrosion. This may lead to the appearance of an unsightly grey coloration in the upper part of the dental crown.
  • Gold alloys has superior strength and resistance. The main advantage is that gold alloys can be manufactured at a very low thickness and still preserve strength and resistance. The benefit is that less tooth structure needs to be removed.
  • Gold alloys are lighter than base metal alloys (with the exception of titanium).
  • Gold alloys are well-tolerated by the body and do not produce any allergic reactions.

 The use of titanium alloys for dental apllications has increased dramatically in recent years.

The strength and rigidity of titanium are comparable to those of other oble or high noble alloys used in dentistry.

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