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 Inlay – indirect restoration; occlusal surface
excluding cusps
 Onlay – indirect restoration; occlusal surface
plus cusp(s)
 Crown – usually covers the clinical crown of the
natural tooth
 Can create “¾ crowns”
 Bridge – replaces missing tooth/teeth
 Abutment vs. Pontic
 Cantilever, Maryland
 Cantilever Bridge
 Maryland Bridge
 Dental Ceramics – Porcelains
 Composites
 Metals
 Crowns (Anterior – “jackets”)
 Veneers
 Fused to metal for crowns & bridges
 Denture teeth
 Inlays & Onlays
 All-porcelain crowns & bridges (without metal
substructure)
 Intended for very large Class I or II restorations
 Applied directly or indirectly
 Reduces concern of polymerization shrinkage and
marginal leakage
 Composite restoration fully cured outside of mouth
 Similar to direct composite materials
 The tooth is prepared
 The prep-site is lined with a lubricant
 The composite is placed and cured (but
not etched, bonded!)
 Remove the composite filling and finish
cure
 The restoration is cemented into prep at
same appointment
 After tooth is prepped, an impression is taken
 A provisional filling material is placed
 The impression is sent to lab
 Lab fabricates the restoration from composite material
onto the die
 The restoration is cured fully
 The inlay is seated with composite cement at 2nd
appointment
 Full metallic crowns, bridges
 Inlays, onlays
 Substructure for PFM’s
 Substructure/framework for partial dentures
 Temporary crowns (prefabricated)
 Alloys have advantages over pure metals alone:
 Stronger
 Harder
 Easier to fabricate
 Less expensive
 Alloys are formed when metallic atoms are dissolved
within the atoms and crystals of another metal
 Gold is a soft metal
 Less gold in alloy improves
strength
 ADA-approved classes
based on properties of alloy
 Mixed with platinum,
palladium, copper & silver
 Gold alloys are expensive
ULSOOR
 
# 9/1, 2ND FLOOR ARJUN POINT,
TANK ROAD, ULSOOR LAKE JUNCTION,
ABOVE SHANTI SAGAR
BANGALORE-560042,
KARNATAKA,INDIA
PHONE NO : 080 - 2554 7249 / +91 99003 70009

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Materials for Inlays, Onlays, Crowns and Bridges

  • 1.
  • 2.  Inlay – indirect restoration; occlusal surface excluding cusps  Onlay – indirect restoration; occlusal surface plus cusp(s)
  • 3.  Crown – usually covers the clinical crown of the natural tooth  Can create “¾ crowns”  Bridge – replaces missing tooth/teeth  Abutment vs. Pontic  Cantilever, Maryland
  • 4.  Cantilever Bridge  Maryland Bridge
  • 5.  Dental Ceramics – Porcelains  Composites  Metals
  • 6.  Crowns (Anterior – “jackets”)  Veneers  Fused to metal for crowns & bridges  Denture teeth  Inlays & Onlays  All-porcelain crowns & bridges (without metal substructure)
  • 7.
  • 8.  Intended for very large Class I or II restorations  Applied directly or indirectly  Reduces concern of polymerization shrinkage and marginal leakage  Composite restoration fully cured outside of mouth  Similar to direct composite materials
  • 9.  The tooth is prepared  The prep-site is lined with a lubricant  The composite is placed and cured (but not etched, bonded!)  Remove the composite filling and finish cure  The restoration is cemented into prep at same appointment
  • 10.  After tooth is prepped, an impression is taken  A provisional filling material is placed  The impression is sent to lab  Lab fabricates the restoration from composite material onto the die  The restoration is cured fully  The inlay is seated with composite cement at 2nd appointment
  • 11.  Full metallic crowns, bridges  Inlays, onlays  Substructure for PFM’s  Substructure/framework for partial dentures  Temporary crowns (prefabricated)
  • 12.  Alloys have advantages over pure metals alone:  Stronger  Harder  Easier to fabricate  Less expensive  Alloys are formed when metallic atoms are dissolved within the atoms and crystals of another metal
  • 13.  Gold is a soft metal  Less gold in alloy improves strength  ADA-approved classes based on properties of alloy  Mixed with platinum, palladium, copper & silver  Gold alloys are expensive
  • 14. ULSOOR   # 9/1, 2ND FLOOR ARJUN POINT, TANK ROAD, ULSOOR LAKE JUNCTION, ABOVE SHANTI SAGAR BANGALORE-560042, KARNATAKA,INDIA PHONE NO : 080 - 2554 7249 / +91 99003 70009

Editor's Notes

  1. ADA Classes – Type I & II = softer alloys; used for inlays; Type III = hard alloys; used for crown & bridge; Type IV = extra hard for partial denture frames Since golds are expensive, alternative alloys have been used. Golds give excellent thin, margins and some providers still prefer it for some restorations. In fact, a new PFM has emerged which fuses porcelain to gold for the strength of a metal core but with the better esthetics that a gold core can give over a base metal alloy – this is an expensive alternative that some dentists are choosing again – “Captek” (Show picture)