Metal-Ceramic Restorations

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Questions and Answers

What is the maximum allowable difference in the coefficient of thermal expansion between porcelain and metal for them to be compatible?

1 x 10-6 °C (correct)

1 x 10-5 °C

5 x 10-6 °C

2 x 10-6 °C

What is the minimum gold content required in high noble metal alloys used for metal-ceramic restorations?

60%

25%

40% (correct)

10%

Which of the following is NOT a classification of alloys by the ADA for metal-ceramic restorations?

Base metal alloys

Super noble alloys (correct)

High noble metal alloys

Noble metal alloys

What is the primary reason that sharp or acute angles should be avoided in metal-ceramic restoration designs?

It creates excess material stress. Signup and view all the answers

What is the minimum melting range temperature difference required between the metal and porcelain?

170-280 °C Signup and view all the answers

Which type of alloy contains a minimum of 25% noble metal without requirement for gold?

Noble metal alloys Signup and view all the answers

What should be the minimum distance of the metal-ceramic interface from all centric occlusal contacts?

1.5 mm Signup and view all the answers

Which of the following statements regarding base metal alloys is true?

They contain less than 25% by weight noble metal. Signup and view all the answers

What is the minimum thickness required for noble metal alloys in metal-ceramic restorations?

0.3-0.5 mm Signup and view all the answers

Why should occlusal contacts preferably be located on metal rather than porcelain?

Porcelain is more prone to fracture. Signup and view all the answers

What is the function of the wrap-around effect in metal-ceramic restorations?

To compensate for deficiencies in tooth preparation. Signup and view all the answers

What mechanism is responsible for porcelain-metal bonding as mentioned in the content?

van der Waal’s forces Signup and view all the answers

What is a potential consequence of placing the facial finish line sub-gingivally?

Chronic gingival inflammation Signup and view all the answers

How can mechanical bonding be enhanced between metal and porcelain?

By sandblasting and steam cleaning Signup and view all the answers

What thickness is recommended for base metal alloys in metal-ceramic restorations?

0.2-0.3 mm Signup and view all the answers

What issue can arise from using a conventional metal collar in crowns?

Aesthetic display of metal Signup and view all the answers

Study Notes

Requirements for Metal-Ceramic Restorations

Metal-ceramic restorations require careful consideration of material properties to ensure their longevity and aesthetics.
The coefficient of thermal expansion of porcelain and metal should be compatible, ideally differing no more than 1 x 10-6 °C.
The metal's melting range should be significantly higher than the porcelain's fusion temperature, with a minimum difference of 170-280 °C.
The metal must possess sufficient rigidity to resist flexing during seating and under occlusal forces.
The ideal design of the metal substructure avoids sharp angles to prevent stress concentration in the porcelain.
Adequate support to prevent porcelain fracture is essential, with the metal substructure providing proper support.
The metal-ceramic junction should be at least 1.5 mm away from occlusal contacts to prevent deformation and ceramic fracture.
Porcelain should be allowed to wrap around the metal substructure, creating a smooth and defined junction.
Deficiencies in prepared teeth should be compensated for with extra metal thickness.
The metal framework should be sufficiently thick to prevent distortion during porcelain firing or flexing under load, with a minimum thickness of 0.3-0.5 mm for noble metal alloys and 0.2-0.3 mm for base metal alloys.
Occlusal contacts should preferably be placed on the metal portion of the restoration to avoid porcelain fracture.
Conventional metal collars for facial margins can lead to aesthetic issues and contribute to gingival inflammation.
All-porcelain facial margins offer improved aesthetics but require careful consideration to prevent thin, fracture-prone porcelain.

Classification of Metal-Ceramic Alloys by the ADA

High Noble Metal Alloys: Contain a minimum of 60% by weight of noble metals, with at least 40% gold.
- Gold-platinum-palladium
- Gold-palladium-silver
- Gold-palladium
Noble Metal Alloys: Contain a minimum of 25% by weight of noble metals, without a gold requirement.
- Palladium-silver
- Palladium-copper-gallium
- Palladium-gallium
Base Metal Alloys: Introduced in the early 1970s, these alloys contain less than 25% by weight of noble metals and no gold requirement.
- Nickel-chromium
- Cobalt-chromium
- Titanium alloys

Porcelain-Metal Bonding Mechanism

Van der Waals Forces: Attractive forces between neutral atoms resulting from temporary fluctuations in electron distribution.
Mechanical Retention: Achieved by roughening the metal surface through methods such as abrasive grinding and sandblasting, creating a greater surface area for bonding.

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Description

This quiz covers essential requirements for metal-ceramic restorations in dentistry. It highlights crucial factors such as material properties, thermal expansion compatibility, and structural design to ensure durability and aesthetic outcomes. Understand how to prevent common issues like porcelain fractures and deformation.