1. Metal Crown

ADVANTAGES:

• Strong

• Long Durability

• Chipping resistant

• Pocket-friendly

DISADVANTAGES:

• Unnatural appearance

• May interfere with M.R.I

            2. Porcelain Fused-to-Metal Crowns

                                         (PFM)

ADVANTAGES:

• Satisfactory aesthetics

• Long durability

• Pocket-friendly

DISADVANTAGES:

• Ceramic may chip off, in long run under high masticatory forces

• More tooth reduction

• May interfere with M.R.I

                   3. Ceramic/ZIRCONIA Crowns

ADVANTAGES:

• Superb aesthetics

• Minimal tooth reduction

• Long durability

• No interference with M.R.I. as METAL FREE

                   4. Bridge (Fixed Partial Denture)

1. Quick procedure

2. Long-lasting prosthesis

3. Easy maintenance

4. Available in

•  All metal

•  PFM

•  All ceramic

                5. WE USE CADCAM AND DMLS

• CAD/CAM (computer-aided-design and computer-aided-manufacturing) to improve the design and creation of Dental restorations,

• CAD/CAM systems use an optical camera to take a virtual impression by creating a 3D image which is imported into a software program and results in a computer-generated cast on which the restoration is designed

• BEST ACCURACY == FINE MARGINS==NO GAP ==NO LEAKAGE

                                     6. DMLS

• Direct metal laser sintering (DMLS) is one of the few 3D printing technologies that directly create a metal part from its 3D computer model. This process is an advancement of powder metallurgy (PM), a mature metal-molding technology that uses heat and pressure to form powdered metal parts.

• Smaller metal particle size and less variation allow better resolution.

• BETTER MARGINS OF CROWN WITH MINIMAL LEAKAGE

Confusion ??

What to do ??

Is implant process painful surgery ??

Cost ?? & Life ??

Solution to all the queries-

FIXED BRIDGE

Dental fixed bridge is a prosthesis using neighbouring teeth as abutment to replace missing tooth/teeth.

• ADVANTAGE:-

1. Early done as routine procedure.
2. Prosthesis delivery with in a week.
3. No surgery/ Invasive process.

• DISADVANTAGE:-

1. Require reduction of adjacent natural teeth.
2. Leakage/ Fracture of prosthesis.
3. Adjacent teeth may require R.C.T .
4. Cannot be used if there is no tooth behind missing teeth for support.

DENTAL IMPLANT

It in a method to replace teeth using titanium screw and ceramic material.

• ADVANTAGE:-

1. No use of neighbouring natural teeth.
2. Long life ( Implant company now a days provide life time warranty of implant).
3. Long lasting.

• DISADVANTAGE:-

1. Surgical procedure.
2. Time requirement is at least 3-4 months.
3. Cost factor.

How to choose ??

• Stable prosthesis long life without damaging adjacent teeth.
•                                              VS
• Quick prosthesis without surgery with reasonable cost.

Dr. Divayjeet Goel.

BDS(KGMC), MDS(KGMC)